Blueprint to Clean Claims

In today’s financial environment, more than ever, outmoded billing processes can mean the difference between operating in the black or the red for healthcare organizations.

Medical Necessity in MEDITECH

The integration of MEDITECH HIS systems and ClaimTrust’s InSight Medical Necessity product significantly improves validation of services—ensuring Advance Beneficiary Notice (ABN) compliance and achieving significant reduction in Medicare medical necessity denials at the exact time they are requested, in many cases with the patient present.

RAC Best Practices: Medical Record Preparation & Submission

Now more than ever, medical records are in a hybrid state as healthcare entities move towards a true electronic medical record (EMR), presenting a challenge for meeting RAC medical record submission deadlines.

RAC Best Practices: Utilization Management

The one area most often targeted by Medicare’s Recovery Audit Contractors (RACs) also happens to be an area that many hospitals overlook when preparing for RAC audits.