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PreBill - Medicare Eligibility

PreBill - Medicare Eligibility

Revenue cycle professionals will appreciate the level of functionality found in the Medicare Patient Eligibility validation system. Here is how it works; before the claim is processed by Medicare, Cirius identifies all Medicare reasons for rejections such as, patient name and HIC number mismatches, as well as other potential rejections. Cirius will AUTOMATICALLY correct those mismatched claims before submitting to Medicare. You will improve the Medicare clean claim rate and first pass payment rate by 90%.

Reduce Medicare RTP rejections and suspended claims. Obtain immediate increase in cash flow with a reduction in accounts receivable days.

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Key features:
  • Validates all Medicare patient demographic information on every claim prior to billing
  • Identifies all patient name mismatches with HIQA before sending claim for payment
  • Identifies all HIC number mismatches with HIQA before sending claim for payment
  • Identifies all Medicare HMO assigned patients with HIQA before sending claims for payment
  • Track and trend data upstream to those departments of patient information origination
  • Eliminate paper informational requests
  • Deliver reports upstream for performance improvement
  • Easily integrates with other Cirius software solutions
  • User friendly
  • Customizable, if desired
  • And MORE...
Add to Prebill using other Cirius solutions

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