Edit package includes 837 (institutional and professional), Medicare CCI, 72-hour Medicare compliance, Medicare Medical Necessity, and Eligibility Claim edits. Custom edits and bridge routines can be built for no additional cost.
Automation drive efficiency through just-in-time workflow, enabling staff to focus only on claims needing attention. Increased visibility into where claims are in the lifecycle and guidance for proactive claim follow-up
Enhanced payer status rules and claim assignment management optimize staff use by ensuring staff are working claims within their skill set and workloads remain balanced.
Assurance Paper ClaimsTM
Printing and delivery of primary paper claims is available for your organization, with the option of adding collated claims and EOBs for secondary claims.
Assurance Hard Copy DirectTM
Manage secondary volume by automatically generating the secondary claim and explanation of benefits (EOB) from the primary remittance advice, including the ability to print and mail claims in house.
Assurance Remittance ManagementTM
Remittance Management helps increase automation of secondary billing and enhance reconciliation capabilities. Remittances from Change Healthcare’s connected payers and other sources can be formatted and delivered for easy posting into host system.
Assurance Medicare Direct EntryTM
Integrate Medicare claim processing and speed payment by one day. Reduce follow-up time and accelerate claim payment with automatically generated secondary claims.
Assurance Edits as a ServiceTM
Assurance Edits as a Service enables billing staff to identify missing or incorrect information using Rapid Retest in Epic for correction prior to submission. The integration between these two systems facilitates streamlined workflows and increased accuracy.
Assurance Status AmplifierTM
Status Amplifier enables you to gather more information about pending claims from payer portals and, unlike manual processes, helps you automatically gather batch or individual claim status, so you can take early action on pended or denied claims.
Claims Status Enhanced Response
Change Healthcare regularly initiates claims status requests (276) on your behalf until final resolution of your claim is achieved. In addition, to improve efficiency in claims follow-up, you may also initiate on-demand claim status requests.
Assurance Host IntegrationTM
By providing a method to post transmitted claim status information into the notes section of your patient accounting system, this service helps reduce the need to manually post information while providing easy access to pertinent data.
Assurance AttachmentsTM
Assurance Attachments allows you to submit Workers’ Comp and Property and Casualty claims with their associated attachments, bypassing the effort and expense of paper processing.
Assurance Attach AssistTM
Attach Assist allows you to send attachments electronically to meet the increasing number of requests for additional documentation from Medicare, Veterans Affairs (VA), and several other non-Medicare payers, including Medi-Cal.
Assurance Appeals AssistTM
Appeals Assist helps increase revenue capture by leveraging a forms library and user-friendly workflow within Assurance, offering a more streamlined approach to creating and tracking appeal letters for multiple levels of Medicare appeals.
To streamline payer contract negotiations for underpaid or overpaid claims, automated variance reporting on anticipated and actual payment is available. Configure which payers to track, define acceptable variance terms, and run comparison to easily identify areas for follow-up.
An analytics-driven revenue cycle management solution for providers that want a cross-functional view for making timely decisions impacting financial outcomes, staff productivity and the patient experience.
An analytics-driven competitive analysis solution for providers who want to have increased visibility into their claims cycle performance, benchmark performance with peers, and quickly address obstacles
Rick Childs, vice president of revenue cycle management at Floyd Medical Center, talks about how his organization uses Assurance Reimbursement Management to produce accurate, timely claims.
Frequently Asked Questions
A: You have access to unlimited customized edits for no additional fee. These are called Bridge Routines and are set up during implementation. We also provide classes and training from our Advisory Services group to teach you how to build your own custom edits. Historically, experience has shown that many customizations needed in legacy claim systems are no longer needed in Assurance.
A: Assurance can be installed with any HIS. You can submit an 837 or proprietary files to process through Assurance to scrub/clean and release to our clearinghouse. Information can be passed back to the HIS. It is up to your organization to determine which information is posted back to the host or any other downstream systems.
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