Epic Claims Scrubbing Services

Eliminating Claim Errors

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Is your EHR configured on a payer basis and checks rule violations ?

Epic EHR's claim scrubbing system is an ideal tool that meticulously reviews every word of each claim and alerts/modifies the errors that outlaw the payer specific rules. Our claim scrubbing design is based on the verity, "if you 'stand for' your payer rules, they will sanction your reimbursement as full and as early as possible.

Epic's Claim Scrubbing Features:

  • Medical Necessity Edits (MNE) – LCD/LMRP and NCD edits
  • NCCI edits
  • CPT-4/ HCPCS edits
  • CPT/ICD-9 crosswalk
  • ICD-9-CM edits

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Our 24/7 Epic RCM Process

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Epic Revenue Cycle Management Workflow Structure

This is what sets us apart

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Workflow BillingParadise

EMR/EHR's RCM Service
Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time. Only Insurance Eligiblity Info is avaialble.
Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.
Creating clean claims. 7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle
Claim Scrubbing to zero down denials.
Transmitting claims to the insurance companies within 12 hours from the time of visit.
Acting on clearing house report instantly
Following-up with the insurance companies over the phone from the seventh day of claim transmission.
Posting the EOBs and ERAs.
Following-up with denied claims (Denial Management) and resubmitting claims on the same day
but not on the same day
Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected.
Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number.
Access to summary/progress/analysis reports through iPhone/iPad/Blackberry.
but access only to a few reports
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Your Benefits:

  • ICD-9-CM edits
  • Physician/provider-based edits
  • Hospital Outpatient Prospective Payment System (OPPS) Edits
  • Optimize your front desk workflow
  • Claim-Level Technical Edits
  • Optimizing revenue via RVU sequencing
  • E&M level of service
  • Customized Edits
  • Precise coding by certified coding veterans
  • No missed charges
  • Augment the possibilities of claim approval

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several Epic users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Coding

Coding

Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. Epic users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our Epic revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with Epic users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s Epic revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your Epic RCM processes.

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Specialty Focused Billing Services

We have specialized teams of AAPC certified medical billing specialist who hold speciality specific certifications to handle your billing and claims management

Struggling To Bill With Your EHR?

At BillingParadise we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.