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Clean Medical Claims Before Submission for Faster Payment and Accurate
Compensation.
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Underpayments Detected and Flagged.
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Eliminate Errors and Decrease the Chance of Audits.
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Regulations and Codes Changing all the Time? No Problem. Web Services
Keeps Your System Constantly Accurate and Current.
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Powerful Flexibility and Accurate Validation
- Validates procedures, diagnoses, modifiers, place of service, date of service,
units, etc.</ li>
- Flags undercharging and identifies duplicates lines on claim.</ li>
- Tailor your system to payers’ guidelines, by turning on and off rules by
payer.</ li>
- Alerts of errors in hundreds of combinations of procedures and modifiers.</ li>
- Performs medical necessity analysis against our table of Procedures Matching.</
li>
- Diagnoses when dealing with Medicare claims against the LCD tables for the
state.</ li>
- Checks for unbundling with CCI (Corrective Coding Initiative) tables.</ li>
- Follows rules for add-on procedures and uniqueness to gender and age group with
procedures and diagnoses.</ li>
- Regular output report easily identifies claims ready-for-submission from claims
that require changes.</ li>
- System provides automatic alert messages explaining the erroneous conditions.</
li>
- System is ready to adapt to the ICD10 transition when the time comes.
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Maximum Efficiency
The backbone and core strength of the Analyzer Express is our constantly
maintained
and updated database. As changes occur to diagnoses codes and regulations,
our Web Services keeps
your Analyzer Express sharp and accurate every time. Your database
application runs locally on your computer for fast and accurate access.
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Win the HMO Challenge
Powerful Analysis Tools for accurate claims and meeting the challenge of HMOs.
HMO regulations and guidelines by their very nature are in a state of constant
flux.
Analyzer Express keeps your system up to date on the latest information so your
claims are completely accurate, and timely.
Underpayments are easily detected. In addition, payments
received must meet the percentage amount stipulated in the agreement with the
HMO. Medicare denials and rejects due to Local Coverage Determinations (LCD) are
eliminated. The Analyzer Express system keeps the latest LCD for every Medicare
area in the nation.
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Multiple Fee Schedules? No Problem
- Percentage of Medicare Allowable like in most Managed Care plans.
- Workers Compensation and Medicaid fee schedules.
- Unique fee schedules to insurance carriers.
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Recovery: Recover Thousands in Underpayments
- Recover thousands of dollars in underpayments. The system extracts from the
Practice Management System all pertinent data from claims submitted to a
specific payer for a period of one year or less. Analyzed transactions include:
charges, payments adjustments, co-payments deductibles, etc.
- Analyzer Express Recovery produces a detailed report that shows all
discrepancies, including small reductions that can add up to hundreds of dollars
annually. Those small reductions may often be the result of payers shaving off
small amounts of reimbursement that most billing clerks unfortunately may accept
without question.
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Scrubbing, Adjudicating, Repricing, Instant Error
Flagging
- The system reprices each claim according to the fee schedule stipulated in the
agreement between the payer and the healthcare provider. The Analyzer Express
scrubs, adjudicates and reprices all services according to each payer’s
guidelines. The Analyzer Express produces an analysis report indicating errors
detected in adjudication by the payer.
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Detect Underpayments, Overpayments, and Unpaid
Claims
- The report clearly identifies underpayments which can be selected and presented
to payers in order to request refunds. The report also contains information on
unpaid claims. These clearly identify which claims must be resubmitted to the
payer.
- Workers Compensation and Medicaid fee
schedules.
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Have Questions? Arrange for Your Free Online Demo
Today!
- See for yourself firsthand how the Analyzer Express efficiently scrubs
your medical claims. Eliminate costly billing and coding errors, and detect
underpayments, while at the same time avoiding future audits.
- Our sales staff will be happy to arrange a private 15 minutes online
demo that will show you instantly how the Analyzer Express can help medical
offices increase cash flow and recover thousands of lost dollars. Contact
Sales@Accuchecker.com today for more details!
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