02 Oct Claim Scrubbing & Edits: The First Line of Defense Against Revenue Loss
Why Claim Scrubbing Matters
Every claim submitted to a payer goes through an intense review process—sometimes automated, sometimes manual. Errors as small as a wrong code modifier, a missing NPI, or a mismatched demographic field can cause denials, payment delays, or even rejections.
Claim scrubbing is the first line of defense for your revenue. It ensures that claims are clean, accurate, and compliant before they ever leave your practice.
The Hidden Costs of Un-Scrubbed Claims
- Revenue Delays: Each denied or rejected claim adds 30–90 days of delay.
- Staff Overload: More denials = more rework. Your billing team loses hours fixing preventable errors.
- Cash Flow Instability: Revenue unpredictability hinders financial planning and provider payouts.
- Compliance Risks: Missing compliance rules can invite audits and penalties.
How Our Claim Scrubbing & Edits Service Works
Remote Practice Managers’ Claim Scrubbing & Edits applies a multi-layered approach powered by AI-driven validation + human oversight:
- Code Validation: Checks ICD-10, CPT, and HCPCS for accuracy.
- Demographic Verification: Patient name, DOB, insurance ID cross-matched for payer rules.
- Compliance Checks: HIPAA, payer-specific, and regulatory edits validated.
- AI Edits: Predicts denials before submission and suggests fixes.
- Final Human Review: Ensures nothing slips past automated layers.
Financial Benefits of Adoption
- 30–40% Fewer Denials → Revenue arrives faster.
- 25% Higher First-Pass Rate → More claims paid on first submission.
- 50% Less Staff Time on Rework → Your team focuses on higher-value activities.
- Stable Cash Flow → Predictable reimbursements that improve financial planning.
What Happens If You Don’t Adopt Claim Scrubbing?
- Denials become the norm instead of the exception.
- Staff burnout skyrockets as teams chase preventable errors.
- Practices lose 5–10% of total revenue annually due to uncorrected claim errors.
- Competitors who adopt scrubbing gain faster reimbursements and stronger margins.
Project Requirements & Setup Details
- Project Type: Implementation Project
- Requirement: Access to billing/EMR system
- Step-by-Step Process:
- Assessment of current claim workflow
- AI scrubbing rules configuration
- Testing of scrubbing engine with sample claims
- Go-live + monitoring
- Timeline: 2–3 weeks setup
- Expected Results: >90% clean claim rate at submission
- Potential Setup Fee: One-time configuration fee
- Deliverables: Clean claim workflow + AI-powered scrubbing layer
- Ongoing Subscription Required: Yes – monthly support + monitoring
What Happens After You Sign Up?
- Automatic Project Creation – Your claim scrubbing project is opened instantly.
- Assigned Project Manager – A dedicated Account Specialist oversees your implementation.
- Client Portal Created – Monitor real-time progress, updates, and deliverables in your own dashboard.
- Discovery Call Scheduled – Your Account Manager discusses timelines, payer priorities, and training.
Call to Action
👉 Don’t let dirty claims drain your revenue.
Purchase Claim Scrubbing & Edits Below:
Claim Scrubbing & Edits: Eliminate Errors, Reduce Denials, and Accelerate Reimbursements
Claim Scrubbing & Edits — Subscription. First-pass yield ≥95%
The Claim Scrubbing & Edits service by Remote Practice Managers, Inc. ensures cleaner claims, fewer denials, and faster reimbursements—protecting your revenue cycle with automated edits and expert oversight.
💲 $6,500.00 per month (per practice location)
- Includes automated scrubbing engine, custom edits, expert oversight, and monthly performance dashboards.
- Optional add‑on: $1,600.00 per month for advanced denial analytics, payer trend reporting, and quarterly revenue cycle optimization workshops.
1000 in stock
