CureMed Solutions

Demographic entry and Charge transmission

Demographic entry and Charge transmission

As reported by The Change Healthcare 2020 Denials Index which is an analysis of 102 million hospital transactions valued at $407 billion in total charges across more than 1,500 U.S. hospitals, the average medical claims denials rate is up 23% since 2016, topping 11.1% of claims denied upon initial submission through the third quarter of 2020. Since the onset of COVID-19, denials have risen 11% across America. It was found that 86% of claim denials were potentially avoidable and around 75% were still recoverable. Missing or Invalid Claim Data was a significant cause of claim denial that accounted for 17.2% of all denials. The inference here is that a lot of revenue loss is occurring for healthcare professionals that is preventable.  Patient demographics and charge entry which is often overlooked as a miniscule task, if not correct, may lead to claim denials and have major implications in your revenue cycle.

Clean claims without errors and with accurate coding are the only ones which get transmitted through EDI (Electronic Data Interchange) to the insurance company.

Demographic entry and Charge transmission

At Curemed Solutions, we ensure to minimize claim rejections at all 3 levels- mandatory data entries, EDI (electronic data interchange) or payer end rejections. Here’s how we do it.

  • Our team of experts validate all information available in the patient case sheets such as patient’s demographic details, medical diagnosis, treatment provided, instructions and follow up and then only enter it into our medical records system.
  • Our hierarchal system of working ensures a double check of each and every mandatory detail required for securing clean claims such as DOS, POS, Units of service, ICD codes, CPT modifiers, authorizations number, provider details, Onset Date, Billed amount etc.
  • Our billing resources comprising of experienced professionals in the healthcare community ascertain that all billing and payment information pertaining to your patient’s visit including patient demographics are accurately entered, correctly coded and assigned charge appropriately.
  • We regularly harmonize the scheduled patient appointments and charges and identify missing charges or visits by integrating with patient scheduling systems.
How outsourcing these services to us benefits you?
  • Clean claims and organized patient billing information aids in collections which boosts your revenue cycle.
  • Increases productivity by eliminating the time and efforts required for the process, and allows you to better focus on patient care.
  • 100% HIPAA compliance and robust intrusion prevention service with fully managed firewall solutions and encrypted virtual private network
  • Standardization and simplification of charge entry process by preinstalling fee structure in the practice management system for greater consistency.
  • Lesser medical errors by maintaining all the relevant information about your patient’s family history, medications taken, allergies, and other conditions saved in EHR.