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Billing Quality
Measurement: Billing Depot is obsessed about metrics and transparency.
We measure every aspect of our process, personnel productivity, and
technology availability. Our metrics are comprehensive, conservative,
and accessible. Click
here to see how our definition of a sample metric reflects the
entire payment process and prevents misinterpretation and embellishment. Click
here for a comparison of payment distributions.
Claim
Validation: Billing Depot’s knowledge base has over
one million rules to test claim compliance and to identify a wide
scope of errors prior to both service delivery and claim submission.
Vericle uniquely tests data both pre-service and post-service pre-submission, ensuring highest quality submissions
and drastically reducing rejections.
Pre-service: demographics and eligibility at the
point of patient
scheduling.
Pre-submission:
Format, missing data, conflicting content, regional LMRP's,
CCI on a national level, payer-specific, custom practice-specific
and patient eligibility
Built-in Data Integrity - Prevents invalid data entry
Content validation rules include general and payer-specific rules.
Claim Pricing: Manage private pay price lists
as well as insurance contracts and standard Medicare fee schedules,
including conversion factors, carve outs, and exceptions. Residual
balances after primary and secondary payments are routed directly
to ExpressBill for batch printing and mailing. |
