Are your claims completely and accurately coded? Are complex coding issues draining your staff’s resources?

A patient is admitted to your hospital for a balloon angioplasty. Your doctors perform the operation, medical records codes the claim, your claims processor scrubs the claim, patient accounts sends the bill to Medicare, and Medicare pays the bill—perfect, except that somebody forgot to include the code for the $750 balloon catheter. Your claims scrubber can only correct what it can see, and you’re losing money paying for expensive equipment.

Outdated claims management suites may be able to identify a few coding errors, but can they find codes that aren’t there?

The CompleteCode module of A|Rmed is a decision tree that notifies you when additional codes can be added to a claim. CompleteCode helps to eliminate underpayments and helps you to correctly and completely bill complex claims. Before the claim is submitted to your payor, CompleteCode finds missing coding issues and notifies you in real-time, giving you the ability to prospectively repair the claim. CompleteCode prioritizes missing coding issues by the issues’ probability of repair and potential cost, allowing your staff to easily focus on the most important missing codes.

Claimtrust offers the highest level of billing and coding accuracy in the healthcare finance industry, and CompleteCode is just one feature of A|Rmed—the suite of applications that our clients rely on everyday. An intelligent, next-generation claims management suite, A|Rmed identifies, distributes, repairs, prices, and tracks clinical and billing issues in a real-time environment.