It is nearly impossible to reach your goal without first assessing your progress. With HeW's Performance Analytics solutions, you can identify system and billing issues in order to make changes to your PMS or HIS, by requesting "scrubbers", or providing additional staff training.
HeW Clients have the ability to track claims through the adjudication process using Claim Status Inquiry transactions. This service reduces lengthy follow up calls to Payers and enables clients to identify delays or rejections in the adjudication process, promoting accelerated payments and staff efficiency.
HeW analytical reports provide valuable information regarding your staff's claim management practices, including denial reasons or claim counts. HeW can also develop custom reports which more specifically meet individual client's management needs.
HeW provides client with tools to assess and manage claim denials.
Using eX12, clients can easily identify and correct both front-end errors and back-end rejections, allowing for rapid resubmission. Scrubbers can be identified to reduce errors and billing process adjustments can be identified to reduce rejections. Utilizing HeW denial management solutions, clients are able to prevent future denials, in turn accelerating reimbursements and improving A/R days.
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