- May 25, 2019
- Posted by: Thomas Anderson
- Category: Medical Billing
Sunknowledge Services Inc. has been serving 100s of healthcare service providers around the country since 2007. Working tirelessly to ensure proper reimbursement of the medical and healthcare providers for their services, Sunknowledge has gradually cemented its position as the numero uno company among the medical billing services. With our highly experienced and skilled resources, we attempt our best to provide an error-free service. At present we have been able to achieve an average of 98% claim accuracy assisted by the latest of EMR and EHR facilities. However, errors still happen. True to our uncompromising customer service commitment, we consider it’s our duty to identify the potential errors in the process and enhance patient care and improve revenue return.
However, before identifying the billing errors, we always advise our billing executives to know the difference between the rejected claims and the denied claims.
Rejected Claim Denied Claim
| A rejected claim occurs when errors are identified before the claim is processed. These errors prevent the insurance company from releasing the payment. A rejected claim is returned to the biller for correction keeping a provision of resubmission after rectifying the errors. A rejected claim may be due to reasons like the clerical errors, coding errors, procedure mismatches, etc. Usually, an explanation of the error accompanies the rejected claim. | A denied claim is payer-processed claims and deemed un-payable as it contains vital errors or violation of payer-patient contract terms. A denied claim is discovered after the processing and the payer sends back it to the biller with an explanatory note. However, even such denied claims can be appealed and sent back to the payer for processing. However, appealing can be a time-consuming and costly process. Doubtlessly, getting the claims approved in the first attempt is extremely important. |
Medical Billing Services – Combating Regular Errors
We at Sunknowledge emphasize on identifying the basic errors resulting in a denial or rejection. The most common errors are:
- Incorrect or incomplete patient information
- Incorrect information of the provider
- Miscoding
- Skipping of codes
- Bill duplication
Sunknowledge with its vast experience in medical billing services leverages the expertise and technology to reduce the errors to the minimum for your practice. We work in a 100% HIPAA compliant environment making the case stronger. Our commitment to present you an error-less service is heralded through our guarantee of client service that made us support our clients through a Hiscox Insurance of up to $1 million to cover any error of omission & commission from our end.
Here’s a quick review of what we offer:
- 80% Reduction in Billing Costs
- Free dedicated account manager
- Reduction in accounts receivable by 30% within 1 month
- Low-fee standalone services
- 99% accuracy
- Increased revenue collection up to 97%
- Unsurpassed speed
- No binding contracts
- 100’s of clients with excellent references
- 100% HIPAA Compliance
- Fully supported by Hiscox Insurance of up to $1 million to cover any error of omission & commission
- 100% client retention
- Free daily/Weekly/Monthly customized reports
- Clients’ legal issues handled by Nixon Peabody
- Free Telemedicine platform
With so much in offer, make Sunknowledge your trusted partner to fight the unwanted errors and enhance your claim settlement mechanism to the best level.
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