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Claim Scrubbing & Edits: Eliminate Errors, Reduce Denials, and Accelerate Reimbursements
Original price was: $7,000.00.$6,500.00Current price is: $6,500.00.
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
Description
Claim Scrubbing & Edits
Engagement: Subscription | Delivery Time: 1-2 weeks | Tier: Essential
Project Summary: Plan-specific edits to raise first-pass yield and cut rework.
Deliverables
- NCCI/LCD edits
- Auto-corrections
- Exception routing
- Edit dashboards
ROI Impact: First-pass yield ≥95%
Great For: All outpatient practices
Every denied or delayed claim represents lost revenue and wasted staff time. Manual claim reviews are error‑prone, and payer rules change constantly, making it difficult for practices to keep up. The Claim Scrubbing & Edits service delivers a proactive, technology‑enabled solution that ensures claims are accurate, compliant, and optimized before submission—reducing denials and accelerating cash flow.
What’s Included:
- Automated Claim Scrubbing
- Advanced rules engine checks claims against payer‑specific requirements.
- Detection of coding errors, missing modifiers, and incomplete data.
- Custom Edits & Compliance
- Tailored edits aligned with specialty‑specific billing rules.
- Ongoing updates to reflect payer policy changes and regulatory requirements.
- Denial Prevention
- Identification of high‑risk claims before submission.
- Reduction in rework, resubmissions, and delayed payments.
- Expert Oversight
- Revenue cycle specialists review flagged claims for accuracy.
- Staff training on recurring error patterns and best practices.
- Workflow Optimization
- Seamless integration with your EHR and practice management system.
- Automated routing of corrected claims for faster submission.
- Performance Monitoring
- Dashboards tracking denial rates, clean claim percentages, and reimbursement speed.
- Monthly executive reports linking claim quality to revenue cycle performance.
Why It Matters
Denied claims cost practices both time and money. With Claim Scrubbing & Edits, your organization gains a scalable, compliant, and proactive system that ensures claims are clean before submission. Instead of denials being a constant drain, they become a preventable issue—protecting revenue, improving efficiency, and accelerating reimbursements.
📑 Before & After Claim Quality Snapshot
| Before (Error‑Prone Claims) | After (With Claim Scrubbing & Edits) |
|---|---|
| High denial rates due to coding errors, missing modifiers, or incomplete data | Automated scrubbing engine detects and corrects errors before submission |
| Manual reviews slow down claim submission and miss payer‑specific rules | Custom edits aligned with payer policies ensure compliance and accuracy |
| Frequent rework and resubmissions delay reimbursements | Clean claims submitted the first time accelerate payment cycles |
| Staff overwhelmed by repetitive claim corrections | Automated workflows reduce manual workload and free staff for higher‑value tasks |
| Leadership lacks visibility into denial trends and claim quality | Dashboards track clean claim rates, denial reductions, and reimbursement speed |
| Revenue leakage from preventable denials | Revenue cycle strengthened with higher first‑pass acceptance rates |
| Claim scrubbing seen as a reactive chore | Claim scrubbing becomes a strategic advantage that protects revenue and efficiency |
📑 Value Proposition: Claim Scrubbing & Edits
Why Choose Claim Scrubbing & Edits? Because every denied claim is lost revenue, wasted staff time, and delayed cash flow.
✅ Eliminate Costly Errors – Automated scrubbing and custom edits catch coding mistakes, missing modifiers, and incomplete data before submission. ✅ Reduce Denials & Rework – Clean claims the first time mean fewer resubmissions, faster reimbursements, and less staff frustration. ✅ Accelerate Reimbursements – Optimized claims flow through payers quickly, protecting your revenue cycle and improving cash flow.
Result: A proactive claim quality solution that transforms billing from a denial‑prone process into a strategic advantage—delivering cleaner claims, faster payments, and stronger revenue protection.
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