Your solution for Posting Electronic Remittance Advices while enhancing your ability to recover revenue.
FEATURES of APM:
- Automates the posting of ERAs directly into the Practices billing system improving accuracy and consistency of posting and freeing up staff resources to focus on billing improvement actions.
- Eliminates EDI interfacing and file transfer demands required from conventional clearinghouse approaches to Electronic Remittance Advice processing.
- Automates posting to any Practice Management System with ability to be installed by Billing-level staff.
- Translates the HIPAA 835 EDI posting file into ICONs using a unique mapping and logic decision-making tool that resolves differences between Payor formats.
- Facilitates recovery of revenue from denied claims, by identifying coding combinations that are valid from those that are submitted incorrectly.
- Applies special keys that require correct entry before releasing the coding combination results, as a precaution against fraudulent use of the coding.
- Identifies supplemental and secondary insurance billing opportunities and facilitates practice creation and submission of supplemental and secondary insurance claims, using automated mapping to directly implement the secondary billings.
- Facilitates capture and organization of denied claim data into a “Electronic Dispute Container” that can be submitted in real-time back to the Payor, by-passing paper and mail-based resubmission processes.