What is the Purpose of Claims Scrubber Software?
One of the most important aspects of medical billing is the ability to process claims quickly. Nonetheless, it can negatively affect the revenue flow if quick processing results in repeated denials. With PrognoCIS claim scrubbing software you can improve your revenue flow by quickly and accurately creating clean claims.
Claim scrubbing software systemically checks claims for errors and missing information, reducing claim denials, and increasing the revenue cycle time. In addition, to having CCI (Correct Coding Initiative) edits built into the system, each practice can set up predefined rules to help identify claims that potentially be denied.
With claim scrubber software, you can spend less time working on denials.
What Are the Benefits of Using Medical Claims Scrubbers?
- Increased Claim Accuracy: Claim scrubbers help to identify errors before the claim is submitted so that claims are submitted error-free the first time.
- Reduced Claim Denials: Using claims scrubbers and catching the errors in advance enables you to significantly reduce denials,
- Improved Revenue Cycle Management: Claim scrubbers can improve revenue flows but sending accurate claims and reducing denial and reworking claims.
- Compliance Adherence: By having built-in CCI edits and part of your claim scrubber software you be assured that your claims will be checked for coding and regulatory compliance. Reducing your risk of penalties or audits.
- Enhanced Productivity: Claim scrubber software reduces the need for Manual claim scrubbing making it possible to achieve a first-pass ratio of as much as 97 percent.
- Cost Saving: Claim scrubbing software reduces the costly administrative expense of resubmissions and appeals. Not to mention the loss in revenue for overlooked denials.
- Analytics and Insights: By using the PrognoCIS reporting features you can track claim denial and reimbursement trends which can aid in process improvements leading to revenue optimization.
PrognoCIS Medical Claim Scrubber Software: Here’s What We Offer
The PrognoCIS billing module has built-in Claim Scrubber software. Some of the key features for efficient medical billing and claims processing include,
- Customized local and national coverage determinations for selected specialties and states
- Payer-specific insight into justifying medical necessity by using the proper and most appropriate diagnosis codes.
- The ability to designate scrubbers as warnings or errors.
- Customized claims scrubber checks, allowing the user to create personalized scrubbers.
- A means to add unique messages for errors and alerts.
- More than operators and operands.
- The potential to use several conditions simultaneously.
- The option to use multiple operators to create combination edits.
PrognoCIS Medical Claim Scrubber within the PrognoCIS billing module reduces the turnaround time on claims, as a result, your revenue flow improves.