Reduce Denials and Improve Cash Flow with Claim Scrubber
Industry estimates show that healthcare organizations devote more than $83,000
per physician per year to interactions with payers, and many of these are the direct
result of claim errors. Experian Health Claim Scrubber eliminates costly, time-consuming
rework and boost first-time pass-through rates by ensuring that all claims are complete
and accurate before submission to the appropriate payer or clearinghouse.
Submit Cleaner Claims
After thoroughly reviewing each claim on a line-by-line basis to ensure it is coded
properly and contains the correct information, Experian Health Claim Scrubber applies
an extensive set of general and payer-specific edits before preparing the claim for
immediate processing. Errors that may result in denials as well as undercharges are
identified before claims reach the payer. This proactive approach enables healthcare
organizations to enhance operational efficiency, lower days in accounts receivable
and reduce administrative costs.
Minimize Payment Delays
When leveraged in combination with Experian Health Contract Management, providers
can audit claims before and after remittance. This closed-loop approach results in
more timely reimbursement and a healthier bottom line.