ocExaminer delivers incomparable claims editing and submission for only 35¢ a claim
Online, October 21, 2009 (Newswire.com)
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FORT LAUDERDALE, Fla., October 21, 2009 - With the economic crisis facing this nation, hospitals are looking for ways to improve their cash flow.
There are many companies offering various services and ideas on how to improve revenue. Most, if not all, concentrate their efforts on the front-end registration process, dealing with eligibility and making sure the patients have enough insurance coverage. All these procedures are important and are a good practice to follow them.
However, there is one component of the revenue cycle flow that is lacking. That is proper setup and use of a scrubbing system. In order to have a clean claim, the billers need to know how to work the scrubber, understand the results and most of all rely on the information from the edits.
There are companies that would spend hours of research and development, concentrating on how well the electronic file is built so the insurance company will accept it. However, even though it is an important step as part of claim submission, how perfect is the information within the file? What if you do not have electronic file submission established for all the carriers?
Omega Technology Solutions has created a web-based scrubber going beyond what a scrubber can do.
OTS has been working for five years building and testing the product called OCExaminer . This system allows for on-demand claims editing, identifies potential lost revenue, acts as a "Safety Net," has pre-built edits ensuring compliance and lets the hospital decide what they want to review.
There are three components dealing with hospital claims:
• Compliance
• Lost Charges
• Payer-specific
There are five modules built into OCExaminer:
• CMS Issues
• RTP Issues
• Carve out
• Interventional Radiology
• Drug Administration
• User-defined
• RAC Alerts
• 1500 Module
The system accepts the information from the Patient Accounting system in a print image file which gets uploaded into the system via a secured connection.
OCExaminer provides flexible solutions such as:
• Available via the Internet
• Unlimited user access
• Control user access
• Define menu access
Ability to:
• View reports
• Upload claims
• Manage edits and users
• Perform easy report generation
• Focus on critical issues
• Make changes in your system
Omega Technology Solutions has been in business since 1992 and has worked with many facilities throughout the United States recovering lost charges. Their LCR (Lost Charge Recovery) projects have been approved by HFMA Peer Review and are working towards CORE certification.
For instant demo, please access http://www.omegatechnologysolutions.com/OCE%20Web%20Presentation/player.html or http://tinyurl.com/cuvrf7
About OTS
Omega Technology Solutions provides a range of software technology and services to the Hospital and Healthcare Industry to ensure both compliance and profitability. For over 12 years the firm has been providing a complete suite of Revenue Cycle Management offerings, including Lost Charge Recovery, Managed Care Contract Recovery, Concurrent Review Services, APC Review, and Remote Coding. In addition, OTS provides web-based Charge Master Maintenance as well as Claims Editing and Examining Technology. http://www.omegatechnologysolutions.com
Contact Omega Technology Solutions at 1-800-559-8009.
Press contact:
FOR A LIVE DEMO/WEBINAR PLEASE EMAIL OR CALL
Steve Cherry
954-564-4321
[email protected]
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Tags: Claims editing, Claims management, Concurrent review, Scrubber