Submitting unclean claims is clearly more than just a hassle to you and your organization. It can mean no payment or delayed payment as well as the need for additional resources to re-work the claims. Added to that are the compliance liabilities you may have to face as a result of unclean claims. Correcting your claims before submission can help ensure that your claims will be paid in a timely fashion and make sure that you stay compliant.
3M Claim Scrubber from 3M Health Information Systems is a web-based claims scrubbing application that works prior to submitting your claims. It helps you and your organization decrease denials, optimize reimbursement, and ensure coding compliance before you’ve submitted your claims, helping you save labor costs and optimizing your organization’s revenue stream.
A FLEXIBLE SOLUTION THAT WORKS THE WAY YOU WORK 3M Claim Scrubber is offered as an Application Service Provider (ASP) model or it can be locally hosted. Because it’s a web-based solution, you can save on IT resources as well as expensive hardware. It provides you with advanced operation flexibility, thus enabling different users from remote locations to access the system simply by using a standard web browser. A system update for both content and application is conducted centrally and immediately becomes available for all system users. As system content is updated monthly the efficient update process can help save you money and ensure uninterrupted service.
HOW 3M CLAIM SCRUBBER WORKS: 3M Claim Scrubber analyzes in charge or claim data from a provider information system. 3M Health Information Systems has extensive experience working with virtually every major healthcare information system and their formats. The 3M Claim Scrubber is a completely integrated solution making claims review a seamless, automated process. Output files are automatically uploaded from your system to the 3M Claim Scrubber. The claims are checked against our comprehensive set of clinical edits, and then the results are pushed back into your practice management system. This allows for claims with “failures” to be placed on hold and those that are “clean” to be billed to the appropriate carrier.
The data is securely uploaded and screened for coding errors, missing charges, and user-defined custom edits without requiring a user to launch the process. Errors are flagged and reported, enabling staff members to make corrections and submit a clean claim to the payer for processing — the first time.
REPORTS YOU CAN COUNT ON: Management reports are generated automatically, including an error detail report that provides descriptions of the coding errors encountered and summary reports for analysis. Reporting is easy and accessible and can be implemented by anyone at any time. Advanced filtering capabilities enable users to customize report output to meet their specific needs, and the web-based model allows these reports to be accessed by any location with a browser. In addition, users have access to policies and other coding compliance information for research with the help of the code viewer — an integrated reference tool.
Key Features and Benefits include:
- Monthly LMRP edit updates; interim releases as needed
- Customized edit capabilities through the Rules Wizard
- Seamless integration with provider information systems
- Secure claim file or charge upload for batch or real-time processing
- Code viewer — An online coding reference tool
- Two delivery models — ASP or locally hosted
- HIPAA-compliant
For more information, call 800.367.2447 or click here.
