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NANO Claim Scrubber Enterprise Solution
What Is NANO Claim Scrubber Enterprise Solution?
Nano Claim Scrubber Enterprise Solution is a tool that is used to verify if all the CPT codes in a medical claim are correct and match the International (ICHI) cum Country-specific coding standards like American Coding System (CPT), Australian Coding System (ACHI & ACS), U.K Coding System (SNOMED CT), and Canadian Coding System and (CCI). Additionally, there are some other codes as well like (DCT) for current Dental Terminology and (UTN) for Universal Tooth Numbering System, and others. The most reliable and trustworthy claim scrubbers are automated programs available with the TPA medical billers and can help in minimizing the chances of claim rejections due to inaccurate or non-universal CPT codes. Claim scrubbers lead to more revenue in a very short period while reducing the active workload of your front-office staff, reducing dependability, and strengthening the payer-patient relationships.
Nano Claim Scrubber Enterprise Solution will scan your medical claims for errors that would cause the payers (i.e., insurance companies) to deny the claim. The importance of Nano Claim Scrubber Enterprise Solution will come in place when you're representing your services with a five-digit number code and, just one wrong digit can result in claims rejection. The Nano Claim Scrubber Enterprise Solution technology is designed in a way to catch errors far better and faster than a human eye.
Manual Claim Scrubbing Vs NANO Automated Claim Scrubber
Manual Claim Scrubbing is a process that your dedicated office staff could theoretically handle manually with experience. They just have to be aware of the CPT country-specific standard codes, so they would be able to see the CPT codes and verify them with the numbers that should match the services that were provided. However, in it is not easy as it looks. it’s a formidable challenge to understand and remember each of the thousands of CPT codes. Also, the claims verification team should be wary of the fact that HIPAA compliance and CPT codes are constantly changing.
There will be human errors even when the claims verification team who knows CPT codes might miss out on identifying the incorrect ones. We mostly commit typo errors even though we know the spelling. The Nano Claim Scrubber tool will work just as spell-check for catching errors in any claims scrubbing process.
Benefits of NANO Claim Scrubber Enterprise Solution
Accurate claims with very few rejections
Accurate claims with very few rejections
Accurate claims with very few rejections
Accurate claims with very few rejections
Every Medical Claim goes through a 3 step scrubbing check before it is approved. They are as below:
Medical Eligibility Check
Medical Eligibility Check is the process of verifying whether a patient is considered eligible for insurance coverage or not, and it's a long process that includes checking the active coverage in the insurance company with other information such as copayments, deductibles, and coinsurance. Our claim scrubber includes advanced integrated technologies that connect healthcare facilities and insurance companies allowing users to easily check a patient's active coverage with the insurance company and verify the authenticity of his or her claims.
NANO Health's advanced claim scrubber can verify the authenticity of claims, and improve patient care with one click!
Medical Necessity Check
The standard procedure for Universal Codes Checking (CMS), Pairs Checking, Age, and Gender demographics checking is comprised called a medical necessity check. Validating while cross-walk checks for medical codes such as Diagnosis Vs Procedures Vs Consumer Goods Vs Drugs. It also performs International Classification of Diseases (ICD-10-CM/PCS) cross-checks for labs, dental codes, consumables (HCPCS), and once-in-a-lifetime disease incidents.
Medical Coding Check
Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes for the easy understanding of Pharmacists, Doctors, and TPA agents. Also, medical coding check is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes against Age necessity, Gender necessity, Dentistry, and Radiology.
