CLAIMS AND EDIT REMEDIATION
Avoid denials and reduce revenue leakage by generating clean claims.
Developing clean claims with complete and accurate information is an essential step in reducing payer denials, avoiding A/R delays, and ensuring your revenue cycle continues to hum along nicely. Claims scrubber software tools can flag potential issues found in messy claims, yet healthcare organizations accumulate mountains of messy claims and write them off each year – forfeiting payments due to them and putting their revenue cycle at risk.
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Axea claims editing services resolve that issue, reducing a hospital’s pre-bill edit queue and creating thorough, detailed bills that are fully acceptable for submission to payers. We provide expertise in processing coding, billing, admitting, and scheduling related edits as well as expertise on various hospital information systems to resolve claim edits, release bills, and improve cash flow.
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WHY AXEA?
- Solve billing issues related to diagnosis, medical necessity, procedure, and outpatient prospective payment system (OPPS) codes.
- Successfully release clean bills to payers, reducing write-offs and improving revenue recognition.
- Avoid denials and appeals by submitting high-quality clean claims from the start.
- Expert consultants can analyze and trend data to determine if IT or third party software may be a catalyst to claim denials.
ADDITIONAL SERVICES
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CDI
We evaluate, improve, and monitor CDI, so you don’t have to. |
Coding Audit Support
Uncover coding issues that lead to lost revenue and compliance risk. |
Denials and Appeals
Resolve denied claims and gain insights to keep cash flowing. |
RCM Consulting
Foster quality and efficiency throughout your revenue cycle. |