Significance of Claim Scrubbing in Medical Billing

1. Visit our website: Click here Follow us: Significance of Claim Scrubbing in Medical Billing What Is Claim Scrubbing? Claim scrubbing is a method of reviewing claims before a medical practice submits them to an insurance carrier. Claim scrubbing removes all the errors that might lead to claim denials. In the claim scrubbing process, the billing team checks the correctness of the Current Procedural Terminology (CPT) codes in your claims. This process is significant because, while describing your services with five-digit figures is handy, a single incorrect digit might result in a payer dismissing your claims. Claim scrubbing can be done either using third-party tools or manually, where the billing team crosschecks the details of a filled claim. This process helps to detect and eliminate any errors in billing codes, which in turn reduces the number of rejected claims. Claim processing speed is often an overlooked factor in the medical billing process. If claims are processed quickly, patients, providers, and insurers can rest easier knowing they’re not wasting their time or money. That’s why claim scrubbing plays a vital role in the medical billing process. Let’s dive into this article to understand the significance of claim scrubbing in medical billing. Significance of Claim Scrubbing in Medical Billing Claim scrubbing offers many benefits for medical providers and even for insurance carriers. Copyright © Medical Billers and Coders. All Rights Reserved Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com 1

2. Visit our website: Click here Follow us: These benefits include: Error-free claims: The prime benefit of claim scrubbing is it results in more accurate claims. The more often your claims are accurate, the fewer denials you face. As a result, you’ll encounter fewer obstacles to getting the reimbursements you need from insurance carriers. Quicker payments: Denied claims hold up the payment process. With the claim scrubbing process, you’re far more likely to submit an accurate claim the first time, enabling insurance carriers to pay you on time. The result is more revenue and cash flow that your practice can use to cover its needs. Better payer relationships: For any medical practice, insurance carriers or payers are the primary sources of revenue. Claim scrubbing leads to a substantial reduction in the number of erroneous claims you file, creating better relationships with your payers. Excellent claim-scrubbing practices can also help you make a case for yourself when connecting with new insurers to broaden your network. Thereafter, more patients are able to choose your practice. Better patient relationships: Frequent claim denials don’t only affect payers. Patients often get annoyed when claims are denied. Think about it: After going to your doctor, wouldn’t you be irked if you got a bill for services you expected to be covered? A practice with patients who regularly experience this problem might not keep those patients for much longer. As claim scrubbing lower claim denial rates, your patients are more likely to receive the coverage they expect for your services. When you meet the patient’s expectations, they’re far more likely to come back. Between patient retention and your expedited claims process, your practice is looking at more revenue more quickly. Reducing claim rejections: Once a physician provides services, they will need to file a claim to be paid. Claims can be convoluted and tricky, with a wide margin for error. A claim scrubbing service can eliminate errors before the claim is ever filed. Copyright © Medical Billers and Coders. All Rights Reserved Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com 2

3. Visit our website: Click here Follow us: Reducing time spent rectifying claims: Claim submission is a tricky process, and using a claim scrubber will ensure that you spend as little time as possible reviewing your claims for errors. Automated vs. Manual Claim Scrubbing Claim scrubbing can be done using the third-party tool as well as manually also. Small practices generally avoid using automated claim scrubbing tools as high cost is involved. Bigger healthcare organizations submitting huge numbers of claims prefer to go with automated claim scrubbing tools as automation reduces claim scrubbing time. Automated tools get updated regularly so that updates in procedure codes get reflected in the claim scrubbing process. Medical Billers and Coders (MBC) is a leading medical billing company providing complete medical billing services. We shared this article on the significance of claim scrubbing in medical billing for provider education purposes. Being a leading medical billing company we follow every revenue cycle management process to ensure that providers get timely and accurate insurance reimbursements. Our complete medical billing services also include a manual claim scrubbing process where we ensure that all submitted claims are checked for any errors. To know more about our complete medical billing and coding services, at: info@medicalbillersandcoders.com. call us at: 888-357-3226 or email us Copyright © Medical Billers and Coders. All Rights Reserved Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com 3