CLAIMS-Online™
Submitting incomplete or inaccurate claims can slow revenue to a snail's pace. GHN's clients enjoy a 99.97 percent average first-time acceptance rate on all submitted drastically claims reducing costly days in accounts receivable. CLAIMS-Online™ is a workflow-oriented, HIPAA-compliant claims management system. The proprietary, rules-based, enterprise-class architecture defines and aligns all billing data (e.g. patient demographics, diagnosis, treatments, charges, taxonomy and situation data elements) according to the terms and requirements specified by the healthcare provider, payer and CMS organizations.
Working with both government and commercial payers, we directly connect to Medicare, Medicaid, RR Medicare, Champus, DOL and Blue Cross/Blue Shield, along with direct billing of institutional, dental and professional claims HIPAA-enabled payers. GHN continuously maintains and updates all HIPAA, payer and provider information requirements.
Features:
- Unlike traditional clearinghouses, GHN's tiered approach, real-time Smart Scrubbing™ backed by LMRP and CCI validation merges the requirements of provider, payer, and HIPAA-specific edits
- Our Business Process Improvement (BPI) approach to electronic transaction services guarantees synchronization of all billing data to eliminate lost or untraceable transactions and shortens the revenue cycle for healthcare payers and providers
- Claims status allows for real-time monitoring of claims through the entire life cycle
- Seamless interface with third-party management systems (payers, providers, employers and banks) with our customizable and format-agnostic architecture
- Data storage available for up to seven (7) years
Benefits:
- Clean and complete claims virtually eliminate the need for claims resubmission
- No more lost transactions, duplicate batches and mundane redundancies in your claims management operations
- Optimized turnaround time in cash payment receipts (especially when combined with our electronic funds transfer offering)
- Improves cash predictability, claims-on-hand and payment cycle days with the most innovative workflow management system. Imagine the results!
- Reduces operating costs and improves scalability with lower per claim filing costs
- Rapid deployment in just 9 days
