CCC Intelligent Solutions’ Post

When collating and submitting medical claims, overlooking important details is a common occurrence. Such oversights increase the likelihood of claims being delayed or rejected. Consequently, providers may face longer waiting times and the need to spend unplanned time revisiting claims. Our CTO, Seamus Cooley, explains how a more structured approach to submission can simplify the process for both providers and insurers. ⬇️

The key to reducing claim denials is a proactive strategy based on precision and foresight. By employing proactive procedures that cover the entire claims process, from patient intake and data collection to coding and claim submission, practices may avoid frequent rejection traps. It entails remaining current on coding standards, guaranteeing precise documentation, and encouraging open communication with payers and patients.https://https://lnkd.in/gzbgEaVh

New Rules, New Risks. Check out our August Patient Billing and Financing Regulatory Roundup to get a comprehensive overview of the recent changes in the patient billing legislative landscape. 🔗: https://lnkd.in/en-7_y_r

Achieving better outcomes with a focus on people. Our claims solutions lead to 27% lower indemnity costs, 20% lower medical spend, and an 85% return-to-work rate. Learn more about our approach here! https://lnkd.in/g_qWP6S2  

Achieving better outcomes with a focus on people. Our claims solutions lead to 27% lower indemnity costs, 20% lower medical spend, and an 85% return-to-work rate. Learn more about our approach here! https://lnkd.in/gEamGsbz  

Achieving better outcomes with a focus on people. Our claims solutions lead to 27% lower indemnity costs, 20% lower medical spend, and an 85% return-to-work rate. Learn more about our approach here! https://lnkd.in/gM38jc9e  

Achieving better outcomes with a focus on people. Our claims solutions lead to 27% lower indemnity costs, 20% lower medical spend, and an 85% return-to-work rate. Learn more about our approach here! https://lnkd.in/e2FSVyKZ  

Achieving better outcomes with a focus on people. Our claims solutions lead to 27% lower indemnity costs, 20% lower medical spend, and an 85% return-to-work rate. Learn more about our approach here! https://lnkd.in/g_qWP6S2  

American Medical Association has made a clear and compelling case that the current Prior Authorization Processes are broken. Spesana Authorize is proving that electronic prior authorization is not only eliminating the archaic manual paradigms but is improving time to approval, time to diagnosis, time to treatment, and time to payment. It is clear that there is a definable problem and the question remains, "Is your organization bold enough to embrace the change necessary?" Reach out to learn more about our no-risk trial. https://lnkd.in/g6PtU_hN Patients and Physicians Speak Out :" See how patients and health care professionals around the country are negatively impacted by prior authorization burdens. https://lnkd.in/g4NjNnuv

Metric to monitor: First Pass Acceptance Rate! 🔹 First Pass Acceptance Rate (FPAR) or sometimes referred to as First Pass Clean Claim Rate (FPCCR), uncovers problems and inefficiencies in claim submission and processing, revealing the effectiveness of your claims processing and medical billing team.  🔹 𝗛𝗼𝘄 𝘁𝗼 𝗰𝗮𝗹𝗰𝘂𝗹𝗮𝘁𝗲 – # of claims paid on first pass/ total # of claims submitted in a time frame. 𝗧𝗮𝗿𝗴𝗲𝘁 𝗕𝗲𝗻𝗰𝗵𝗺𝗮𝗿𝗸 – The industry target is 98%. An efficient, well-run physician practice should be more than 90%. 🕸️ Click the link 👇 to book your free audit and keep following for more tips! 🔗 https://lnkd.in/dT7SYsVU