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.
What does automation in a clearinghouse look like?
The fifth annual CAQH Index found that providers would save approximately $9.5 billion annually by adopting automated processes for just seven common claims management transactions.
Automation improves claims paid at first pass, reduces labor, accelerates cash flow and improves patient satisfaction with your business office. Put simply, automation in a clearinghouse does more heavy lifting so you touch claims less and maximize reimbursement.
An advanced clearinghouse offers automated functionality in these areas:
These features will greatly improve your workflow by automating processes, and these features can integrate into your other systems, including your practice management, EHR or other HIM solutions. This means you can easily manage your revenue cycle and business functions without jumping from system to system.
How can you benefit from automation in your clearinghouse?
Automation drives results. With higher amounts of clean claim and first pass payment rates, your organization can enjoy better cash flow. Automation will also help your team identify missed revenue opportunities. How? Advanced editing capabilities within a clearinghouse can alert you when a claim has potential problems, including missing critical codes and modifiers. It gives your team the power to review and correct errors before they submit claims, ensuring accurate and full reimbursement for the care you’ve delivered.
Employing a clearinghouse with automation capabilities also drives efficiencies. From eligibility verification to actionable reporting to electronic patient payment, automation eliminates manual tasks while slashing the time your team spends on the dreaded back-and-forth with payers.
eSolutions Advanced Clearinghouse
eSolutions is a leader in the clearinghouse market, with continuous improvement and enhancement of our clearinghouse services. Our clearinghouse delivers automated features for a complete claims solution.
Building upon our strong clearinghouse foundation, we’re focused on helping providers submit the timeliest and most accurate claims possible. eSolutions connects seamlessly with nearly all practice management, EHRs and other healthcare information system solutions to streamline your revenue cycle activities. Our world-class reporting features conveniently allow your team to see claim status in real time. You’ll better predict payments and cash flow, optimizing your revenue cycle.
As healthcare providers are faced with cutting costs and increasing efficiencies at every turn, clearinghouse automation condenses labor-intensive staff chores into a streamlined process. Investing in advanced clearinghouse technology like eSolutions is the smart thing to do.