It’s no secret that healthcare in the United States is the most complicated healthcare system in the world. It contains many layers of complex regulation to govern a web of activities amongst clinicians and insurance payers. The complexity is one of the major reasons thought to be responsible for the high cost of healthcare in America.
When a patient walks into a healthcare facility, his or her visit is bound to result in a certain degree or type of care delivered. All the services rendered are documented carefully, and are then coded and submitted to payers to claim reimbursement. It's a complicated process that is prone to errors. Any mistakes made in submitting claims results in it getting denied or rejected, costing the provider precious revenue. A study has shown that each denied claim can cost the organization an average of $117.
enable non-clinical staff to streamline the process of coding for accurate claims submission. Additionally, such applications also accelerate the process, allowing staff at larger hospitals to get more done in the same amount of time. The larger the healthcare organization, the more the volume of patients, and so, the greater the need for medical billing and coding software.
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