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Ensuring clean claim production and timely reimbursements to reduce claim reject rates from over 10% to less than 2%

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Claims Processing Platform | CodED – The Auto-Coding Engine | Work Flow Solutions |
5010 Transition Support Solution | ICD 10 Transition Support Solution

With more than 850 complex changes in HIPAA 4010 and almost ten times the number of codes in ICD-9 in the latest mandates of HIPAA 5010 and ICD-10, the transition is one of the most talked about topics in healthcare IT today. The implementation of these compliance codes represents a significant challenge to healthcare providers and payers. The HIPAA 5010 mandate involves extensive changes to the Healthcare claims, Electronic Data Interchange including transaction 837, and runs into over 700 pages of instructions with a change on every page.

We are uniquely positioned to help our partners with a smooth transition. With an in-house proprietary claims processing platform we have been able to practice what we preach.

Our areas of service include comprehensive assessment, transition strategy development and transition support services. Additional services include project management office functions to co-ordinate with other vendors and entities.



                            

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