Medical claims management means organization, billing, filing, updating and processing of medical claims related to patient diagnoses, treatments and medications. Without effective claims management in healthcare, patients wouldn't know what they owe and clinical offices wouldn't get the assets due for patient administrations.
Claims management consists of maintaining and updating patient medical histories, making changes in medical codes, as well as reporting exams and laboratory results. Claim records are also responsible for collecting, reporting and storing patient information. Medical claims management is necessary to keep track of all medical visits, treatments and expenses of multiple medical facilities and complex health insurance coverage policies.
To take one step towards building a better medical claim processing system, Vast Edge has come up with the idea of process driven automation to analyse and integrate CCLF (Claims and Claims Line Feed) data. By incorporating claims management software with customized edits into the workflow system, providers can thoroughly review every line of every encounter and ensure that each claim is coded correctly and contains the correct information before the claim is invoiced and submitted for reimbursement.
Reduce the number of claim denials, corrections, and rebilling. Improve first-time pass-through rates by optimizing reimbursement.
Execute the most efficient workflow for your team and prioritize high-impact accounts with confidence.
With automatic claims status updates throughout the adjudication process, you can improve productivity and cash flow.
Increase reimbursements by analyzing denials and automating the process. Investigate the root causes of denials and act quickly.