Factors to Consider When Picking Up the Health Claims Clearinghouse.
When a hospital sends the claims to the clearinghouse their claims are checked for the mistakes and corrected and then the results are sent through electronic media to the payer. For the errors to be noticed and corrected then certain software has to used. Accepting or rejecting the claim is the results of the payer. The essential changes are done for the claim to pass through if it was denied, but when a claim is accepted nothing is done except waiting for the payment.
The billing company should have a solid customer support. Correcting and clearing of your claim should be faster. The payer will receive the claim soon, if the clearinghouse is fast. If the company will handle your claim very late due to its slowness in their work, then your payment has to be delayed. The customer care should be on always such that in case you want to send a request, then they will get back to you within the following few hours. If the response gets more than 24 hours to be received, then you should forget about the company.
It should take at most
one hour for the firm to handle your claims. To know the claims that passed, then the company should give you the feedback. The clearing houses which respond to you they help you to resubmit the file which you have made some changes and wait for the cash to flow.
The 835s and payment forms should be sent consistently to the claimer, and they should be accountable for it. You can meet your reconciliation timely, when the firm has sent the forms to you at a timely manner. It will help you to save time since whenever you get the forms at the expected time then doing reconciliation about your cash flow will be at the immediate time and forget about it thus you will not have to keep on tracking which month is the form supposed to help in reconciliation. Most of the clearinghouses send 835s forms later after you get paid; hence you should take caution when selecting the firm.
The information of the claim provided by the firm should be effective. It means that you don’t have to do duplication of the information since it should be accessible to all your staff members, and they have the authority of making the necessary changes. The changes are made faster since the data information is available to all staff.
The clearinghouse you select should be easy to use since if you choose the complex one, you will have to be providing comprehensive training. Since easy firms you don’t have to offers comprehensive training it will save time and money.