From 2013 to 2017, Northwell Health has reduced their denials 50 percent by using Experian Health’s Claim Scrubber.
Claim denials are operational headaches that are costly to cure. It pays to get claims right the first time.
Medical groups devote thousands of dollars per physician per year to interactions with payers—many are the direct result of denied claims. Claim Scrubber helps you submit clean claims every time. Our automated solution reduces undercharges and denials, optimizes your staff time and improves cash flow.
After reviewing each pre-billed claim on a line-by-line basis to ensure it’s properly coded and contains the correct information, Claim Scrubber applies an extensive set of general and payer-specific edits before preparing the claim for processing. That means your claims are error-free before submission to the payer or clearinghouse. So you eliminate undercharges, boost first-time pass through rates and do away with costly, time-consuming rework.
Because errors that result in denials or undercharges are identified before claims reach the payer, your operations are more efficient, your AR days are reduced and your administrative costs stay in check. Fewer denials means your organization gets paid more quickly. When paired with our Contract Manager solution, providers can audit claims before and after remittance. This closed-loop approach results in more timely reimbursement and a healthier bottom line.
ClaimSource® provides the workflow and automation you need to prioritize claims that need attention and minimize financial impact.
Verify the accuracy of payment received from third-party payers and negotiate successful contracts.
Denials Workflow Manager helps avoid payment delays and rework.
Timely alerts provide immediate access to changes posted on more than 60,000 web pages by more than 550 payers.