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Claims Management  
Increase first pass payment rate of claims with XClaim to improve cash flow and reduce accounts receivable days. 
  • Provides a web-based platform that seamlessly augments patient accounting systems
  • Offers extensive claims editing capabilities, including provider and payer-specific edits, as well as, MCE, OCE, LCD and NCD rules and edits
  • Manages all payer communication and automates payer claim reconciliation to ensure claims are never lost
  • Converts all payer reports into one standardized format to enhance biller effectiveness and accuracy
  • Routes all payer rejects electronically to the biller for timely resolution
  • Provides a dashboard view of all claims in real-time to determine status, view payer notes and view a complete audit trail history of the claim
  • Integrates work scheduling capability to send pending claims to responsible departments for resolution and improved accountability
    • Eliminates paper-driven information requests
    • Manages outstanding claims inventory pending with online work queues
    • Identifies high-dollar or aged claims for timely resolution 
  • Automatically generates secondary billing for Medicare claims that reach payment status
  • From 2006-2009, MedAssets’ XClaim has been ranked #1 for Revenue Cycle-Claims Management in the Top 20 Best in KLAS Awards: Software & Professional Services Report 

HFEM Peer Reviewed*HFMA staff and volunteers determined that this product
has met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guaranty the
use of this product

    Featured Case Study
    Parkland Health and Hospital System
    Parkland realizes A/R day drop of 23%, an increase in cash by $10.5 million, and an increase in biller productivity by 70%.
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    Educational Events
    April 30, 2010
    NAHAM 36th Annual National Conference and Exposition
    April 30 - May 3
    Orlando, FL
    Booth: 408

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