Clinical Claim Scrubbing Through Practice Insight July 16, 2014

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Presentation transcript:

Clinical Claim Scrubbing Through Practice Insight July 16, 2014

What makes a claim scrubber so important? Reduce denials It costs up to $25 to resubmit a claim* Optimize reimbursement The average monthly underpayment is $889* ICD-10 readiness Considering the current economic environment, you can’t afford not to use a claim scrubber! * Source - AMA

What types of edits do we offer? Physicians Quality Reporting System (PQRS) Correct Coding Initiative (CCI) CPT, ICD, and modifier Date Demographics Evaluation and Management (E/M) Medical Necessity (LCD/NCD, commercial, proprietary) POS Provider Reimbursement Units What types of edits do we offer?

a 1000 words! is worth A demo

Customizable Accounts preconfigured per provider specialty specified during registration Scrubs both institutional and professional claims Edits can be configured by claim type Custom edits can be created with an advanced “edit wizard”

Integration Alpha II ClaimStaker Practice Insight

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