The financial health of your skilled nursing facility (SNF) depends on claims that are sent on time and accurately. If you’re in the SNF business, you understand the complex process of submitting claims and getting properly paid. The success of reimbursement depends on countless tasks going off without a hitch and in the right order. And if even one task goes wrong, it leads to big problems.
Why is automation important in a claims clearinghouse? Automation adds intelligence and agility to your claims submission process and revenue cycle. This equals less stress for your team, cleaner claims and improved reimbursement.
Providers should use Electronic Data Interchange (EDI) as more than a simple pipeline to submit claims. Many organizations don’t tap into existing sophisticated EDI functionality that streamlines processes, finds missing revenue, improves cash flow and so much more. An advanced clearinghouse with automated features takes full advantage of EDI functionality.
Medicare Beneficiary Identifier (MBI) has the attention of the entire healthcare industry. That's because Medicare is in the midst of launching a dramatic change. This spring, all Medicare beneficiaries will transition to a new Medicare identification system. Find out why that's a big deal in our latest white paper.
We get it! Skilled Nursing Facility (SNF) teams need more hours in the day. Hundreds of SNFs throughout the country entrust eSolutions’ web-based products to streamline workflow, speed up cash flow and improve financial outcomes. Learn where and how six special eSolutions skilled nursing customers have leveraged eSolutions to get back their valuable time and increase revenue.
A sure way to eliminate costs related to bad claims is to make sure they’re as clean and compliant as possible before they reach the payer. Incorrectly coded claims create waste – from processing, to follow up to managing appeals. It all adds up to higher administrative costs and increased A/R days.
The medical industry is constantly evolving, and with it new technology emerges that makes procedures easier for providers and safer for patients. This influx of new and innovative ideas means that other devices and practices become obsolete. For Halloween this year, eSolutions decided to put together a list of 10 outdated medical devices that look like they came straight out of a horror movie.
The Centers for Medicare & Medicaid Services (CMS) announced last month that hospices will be able to submit Notice of Elections (NOEs) using the Electronic Data Interchange (EDI) starting Jan. 1, 2018. Previously, CMS only accepted NOE submissions through the DDE or paper claims.
According to a memo issued by CMS on July 27, 2017, the organization says that “EDI transmission of NOEs would reduce, and potentially eliminate, problems with NOEs that result from errors during the Direct Data Entry process.”
Navigating today’s dynamic healthcare billing and reimbursement climate can throw costly challenges at providers and their busy billing teams. Challenges like capturing accurate insurance data, timely claim submission, managing claim denials and rejections, handling review requests and audits. These issues and more contribute to reaching your number one goal of reducing days in A/R and getting more cash through the door.
Home health agencies face more billing complexities than any other provider type. Agencies must ensure numerous tasks happen smoothly and precisely between the beginning of an episode to the submission of a Request for Anticipated Payment (RAP) through submitting a final claim. With heavy regulation, uncertainties and industry scrutiny, agencies are juggling many rules and extra steps to get paid.
Step 2: Claims Submission
The first post in our blog series last week showed you how improvements in patient eligibility verification set the foundation for your entire billing process. This week’s post explores enhancing two key components in the claim submission process to ensure you’re submitting clean claims on time.