EDI - Rejection & System Maintenance
Overview
At 3AG, we understand EDI rejections like no other vendor. With years of experience in the field, our team of experts have consistently proven to be an invaluable asset to providers and RCM firms with more than 820,000+ claims billed out annually at an accuracy of 96%.
Our experts in automated electronic data interchange (EDI) billing systems provide our partners with top-tier billing management software expertise through a reliable and secure platform that seamlessly connects insurance payers, healthcare providers, and patients. Our billing systems & workflows are designed to offer multi-access channels, instant claims checks, and validation in a fully automated, paperless environment. To ensure these checkpoints are accurately placed, a team of experts is essential to analyze the vast number of claims submitted and rejections received.
At 3AG, we offer precisely this expertise to our partners.
With our services, your EDI rejections will be minimized significantly. Moreover, we efficiently handle any rejections that occur, ensuring they do not affect the timely submission of claims and, ultimately, your revenue. Partner with 3AG to experience reduced claim rejections and enhanced revenue cycle efficiency.
As an extension of your office, our experts provide valuable insight in the field of EDI Rejections & Maintenance with their years of experience in handling the workflows associated with claims which usually consumes a significant portion of the staff’s time and energy at a healthcare organization. Everything from data entry, claims submission, and claims tracking, coupled with reconciliation, is highly cumbersome and prone to errors.
In light of this, here's how we help you navigate the complex landscape of EDI rejections
Front End Claim Rejections
We handle & maintain your EDI rejections that are caused due to invalid patient eligibility, coding errors, claims not passing payer-specific edits, duplicate submissions, and invalid or expired ICD-10 and CPT codes & many more rejections that usually affect a practice's revenue.
Our process in terms of solutions to these rejections, includes thorough eligibility verification, meticulous coding reviews, utilization of advanced claim scrubbing tools, and up-to-date compliance with current coding standards. Our comprehensive approach ensures that claims are accurate, complete, and meet all payer-specific requirements, significantly reducing the likelihood of rejections and enhancing the overall efficiency of the revenue cycle.
Review Process & Real Time Analytical Tools
At 3AG, we leverage advanced analytical tools such as Power BI to meticulously analyze our partners' EDI rejections. By harnessing the power of data visualization and real-time analytics, we can identify key performance indicators (KPIs) and emerging trends in claim rejections. This comprehensive analysis allows us to pinpoint common rejection reasons and inefficiencies in the claims process.
With these insights, we implement targeted strategies to address the root causes of rejections, ensuring timely and accurate claim submissions. By continuously monitoring and refining our approach, we help our partners significantly reduce rejections and optimize their revenue cycle management.
Ensuring Precision and Timeliness
Our dedicated team of experts ensures that all claim rejections are handled promptly and meticulously, leaving no room for error with a thorough review and analysis of each rejection, identification of the underlying issues, and swift correction and resubmission of claims. Utilizing advanced tools and adhering to industry best practices, we guarantee that every claim is addressed with the highest level of precision, providing our partners with the confidence that their revenue cycle is managed efficiently and effectively.
Cost-Effective EDI Management & Rejection Solutions
Cost-effective solutions for EDI management and rejection handling that significantly reduce operational expenses while enhancing efficiency and accuracy are not a thing of the future, our streamlined processes and advanced automation tools minimize manual intervention, cutting down labor costs and reducing the risk of errors. By leveraging our expertise in EDI systems and rejection analysis, we help our partners avoid costly claim denials and delays. Our competitive pricing models are designed to provide exceptional value, allowing healthcare providers & RCM Firms to focus on delivering quality care while we take care of the complexities of EDI Rejections & Maintenance.
With 3AG, you benefit from high-quality EDI management services that optimize your financial performance without breaking the bank.
Compliance & Security: ISO and HIPAA Certified
Delivering unparalleled compliance and security in our EDI management and rejection solutions, backed by our ISO and HIPAA certifications and adherence to Six Sigma guidelines. Our commitment to the highest standards of data protection and regulatory compliance ensures that our partners' sensitive information is always secure.
We implement rigorous security protocols, including advanced encryption, secure access controls, and continuous monitoring, to safeguard against unauthorized access and breaches. By integrating Six Sigma principles, we continuously improve our workflows to reduce errors and enhance efficiency.
Partnering with 3AG means trusting a proven, certified leader dedicated to maintaining the integrity and security of your EDI transactions while delivering cost-effective and reliable solutions.