Medical bill payers use all the available technology in minimizing the bill amount they need to pay to the medical service providers and it becomes difficult for the medical service providers to survive their test. In order to do that, they need to use specialized Claim Scrubber which can eliminates the errors in medical bills before they are submitted. Among many types of scrubbers available, the knowledge management scrubbers prove to be very helpful. They allow the medical billing process to re evaluate the adjudication rules employed by each medical bill payers and update them in the system for later use. To implement the scrubber properly, the follow-department of the medical center needs to provide clear feedback so that the scrubber can incorporate the areas of concern in bill submission and common errors which could have been avoided.
Best way to reduce the outstanding receivables in the medical centers is to ensure that the claims being sent for processing are clean. The clean claims require very less effort in payment collection which results in faster payments. Erroneous claims are sent back as denials & then required to be corrected, which results in delays in payment for the services and most probably, no payment. The fact is that almost 42% of the denied claims are not corrected and resubmitted as most of the medical service providers do not get the time or have sufficient manpower to take care of these denials within the TAT and this the largest source of monetary loss to the medical centers. Clean claims result in over 90% collection on first submission, leaving only 10% of the claims to get denied. By using Claim Scrubber in eliminating these avoidable errors, real issues can be effectively addressed and money loss will reduce significantly.
To ensure clean claims a good claim scrubber needs to be implemented. Many health care billers don't even know what claim scrubber means but the scrubber actually influences the receivables in huge ways. The claim scrubber analyzes data which is on the claim form and compares it with the rules engine it has developed before allowing the claim for submission.