EMR Claims Scrubbing
Medical Claims Scrubbing is an important step in the Revenue Cycle Management process. Claim rejections happen mostly due to human errors due to lack of checking the claim before it is sent. Hence it becomes necessary to validate the health insurance claim before it is submitted for processing.
The Benefits of Medical Claims Scrubbing Are:
- Clean Claims.
- Expedite payment.
- Reduce Denials and Rework.
- Improve Cash Flow, etc.
As Part of Medical Claims Scrubbing, the Following Data Are Subject to Verification:
- Patient/Provider Data.
- Insurer/Insured Data.
- Medical Necessity.
- Actual Procedures Performed Mapped to the Diagnosis.
- Age and Gender Specific Procedures.
- Data Validated Against Medicare, Medicaid, and Other Standard Coding Rules.