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Utilizing Technology to Improve Your Revenue Cycle

Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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Page 1: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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• Insurance Card & ID Scanning Verify Identity Reference for Clarity

Tools of the Trade

Utilizing Technology to Improve Your Revenue Cycle

Page 2: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 2

Cara Buckhaulter,CPCBilling Services Account ManagerNuesoft James Veccie

RCM Account ManagerNuesoft

Page 3: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 3

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• Insurance Card & ID Scanning Verify Identity Reference for Clarity

Page 4: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 4

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• Insurance Card & ID Scanning Verify Identity Reference for Clarity

Page 5: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 5

• Electronic Eligibility Checking

Establish Coverage Co-Pay Collection Deductible Verify where the claim should be sent

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Page 6: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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Page 7: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 7

• Claims Scrubbing

First Line of Defense against Rejections Multi-layer approach NCCI Edits Custom Internal Edits

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Page 8: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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• Insurance Card & ID Scanning Verify Identity Reference for Clarity

Page 9: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 9

• E-Claims Submission

90% adoption rate, new standard Worker’s comp. and liability insurance

now more widely available Importance of Payer ID #’s

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Page 11: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 11

• Claims Log Review

Important to ensure correct receipt of claims

Multiple logs allow you to track the status of claims on an ongoing basis

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©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 12

Page 13: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 13

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• Electronic Claims Status Inquiry Check on status at the click of a button More payers implementing this every day

Page 14: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 14

• ERAs (Electronic EOBs)

More payers offering service daily Eliminates need for paper Digital results means easy data capture Easy to review and make changes on receipt Correct and resubmit rejected claims simply Beware auto-posting software

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Page 15: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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• Unique Digital Fee Schedules Easy Reference Accuracy Ensured No lost revenue

Page 16: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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• E-Statements Management Easy to keep track of patients sent statements

Eases burden of paper mail on your staff Digitizes a paper process

Page 17: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 17

Page 18: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Tools of the Trade

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle | 18

• Real-Time Reporting

All digital information, more accurate reports Robust reporting is important to both businesses In-software reporting saves time Filter data on-demand to get the full picture Provide transparency to both practice and biller

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Page 19: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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Page 20: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

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Page 21: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

©2013 Nuesoft Technologies Inc Utilizing Technology to Improve Your Revenue Cycle |21

Questions?

Page 22: Verify Identity Utilizing Technology to Improve Reference for Clarity Your Revenue Cycle · 2013-12-12 · Verify Identity Reference for Clarity Tools of the Trade Utilizing Technology

Thank YouThank You