Our Pre-Billing services proactively prevent revenue leakage by addressing issues before claims submission, eliminating costly rework and delays.
Validates patient data to reduce claim rejections caused by mismatched records, minimizing front-end denials.
Identifies payers and verifies coverage in real-time to prevent claim denials due to eligibility gaps.
Audits claims for coding errors and payer rule compliance before submission, increasing first-pass acceptance rates.
Ensures claims align with clinical documentation to avoid "lack of medical necessity" denials.
By implementing these preventative measures, healthcare organizations typically reduce accounts receivable days by 20-30% and dramatically decrease the administrative burden of managing rejected claims. Our AI-powered solutions scale effortlessly across your organization while maintaining compliance with all regulatory requirements.
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