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The Transactive System automation suite is geared towards a medical billing company or the claims processing department of a hospital or clinic that wants to reduce their transaction processing time, reduce operating costs or drastically cut the number of errors entered into the system. Our system electronically captures and preprocesses your claims and feeds the clean and completed claims to your claims processing system. Our solution integrates directly with your current claims processing system implementations typically take a couple of days. Dependent upon the component modules utilized and the medical specialty, cost reductions vary between twenty and thirty-five per cent, claim processing can be reduced to a couple of days and insurance remittance can be achieved in less than 96 hours. For more information, give us a call and let’s see how we can help your business. Charge Capture The capture of medical bill information can be automated by using a portable computing device (check out the platforms section) or by entering charges into a Web Site (check out our demo application). Demographic Collection Transactive automates the capture of patient demographic information by establishing a connection with hospital patients records system. This can be achieved in many different ways, from a direct interface to McKeeson to a data file exchange mechanism that sends and receives requests to a service running on a hospital IT department server. CPT/ICD9 Coding Diagnosis and procedure coDesc are captured at the time of data entry so there is no need for subsequent resources to perform coding. Patient Concurrency For the Obstetrics and ER products tracking patient concurrency is a vital feature that automates in milliseconds a labor-intensive task that previously took hours. Contract Filtering Electronically identifying billable items by matching items against contracted payer. Matching Diagnosis and Procedure Codec Previously limited to Medicare and Medicaid, increasingly private insurance carriers are requiring diagnosis and procedure coDesc to match. Matching Highest Unit Base Charge In specialties like Anesthesia where a physician may have to administer multiple procedures to a patient, Transactive compares each procedure’s Basic Unit Value (ASA RVG Unit Value plus time) to identify the highest paying procedure code to submit for payment. Insurance Verification Transactive has direct relationships with multiple carriers so that claims can be verified without going through middlemen. An additional benefit is that by interfacing directly with the individual insurance carriers we develop a very clear understanding of what constitutes a “clean claim.” This significantly facilitates accelerated processing and payment |
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