ClaimTrust’s InSight Compliance is a fully automated, web-based, coding and compliance application that automatically identifies claim errors prior to submission for any and all payors. Using the most complete and up-to-date library of payor edits in the industry, including rules for Medicare fiscal intermediaries and plan level edits for commercial payors, no one can match the depth and breadth of our edits. Far more than a simple claim scrubber, InSight Compliance also applies clinical logic to your claims to identify incorrect codes and can even deduce missing charges, generating net new revenue for your organization.

The Most Complete Edit Library Available

ClaimTrust’s edit library is updated weekly at no extra charge to our customers, making it by far the most comprehensive and effective in the industry. With a highly flexible filtering system that allows hospitals to scale up claim filtering intensity as appropriate for their organization, our clients are able to quickly reach maximum claims compliance with minimal impact on daily throughput. Our team of revenue cycle experts is constantly researching, investigating and discovering these unpublished edits and updating them into our web-based system on a weekly basis to ensure that our clients fully benefit from the most up-to-date and comprehensive payor edit library in the world.

Net New Revenue from Unbilled Charges

InSight Compliance’s advanced clinical logic and analytics are designed to deduce missing claim components that should be present in specific claims. This powerful capability not only ensures that your organization receives all of the compensation due for the services provided, it generate net new revenue from within the coding process itself.

Since many claims involve multiple teams, the intelligent workflow engine also supports communication and corrections across departments and facilities and continues tracking denied claims until they are resubmitted to the payor.

Denials Feedback Loop for Continuous Improvement

When used in conjunction with InSight Denials™, InSight Compliance creates a complete denials feedback loop, a powerful continuous-learning mechanism that can dramatically increase billing process effectiveness and significantly impact cash flow and net new revenue.

HIPAA 5010 and ICD-10

The deadlines for HIPAA 5010 and ICD-10 will be here before we know it. Providers will be required to submit transactions with 5010 on Jan. 1, 2012, and convert to ICD-10 by Oct. 1, 2013. ClaimTrust will be ready to test HIPAA 5010 transaction sets and ICD-10 codes well ahead of these deadlines and will offer concurrent support for the 4010A and ICD-9 during your transition. If you have any questions about our transition to 5010 or ICD-10, please contact info@claimtrust.com.