Claim Editing Resolution Services

Coding errors can pose a significant revenue cycle challenge. These errors result in claims edits that require time and money to correct and create conflict between payers and providers. Taking action to prevent and resolve claims edits is an important step in mitigating these risks.

CARE Communications offers experienced consultants who will provide claims editing solutions that are uniquely designed for your organization, including:

Claim edit issue prevention and resolution
Review and correction of delayed claims
Management of payer updates, system upgrades, new installs, charge master errors and integration with billing software
Process development to identify, evaluate and correct improper claims
Root cause analysis to ensure permanent resolution to common code edit problems
Professional coding support to eliminate edit backlogs