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

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Specialty Focused Billing Services

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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.