Emdeon

Emdeon 72-Hour Rule Check

Emdeon's 72-Hour RuleCheck automatically compares Medicare claims data across multiple systems effortlessly identifying conflicts with Medicare's 72-Hour Rule.

Emdeons' 72-Hour RuleCheck provides a simple, effortless way to comply with Medicare's 72-Hour Rule. It automatically compares claims data across multiple systems to identify potential conflicts both before and after claim adjudication
in order to resolve these conflicts as early as possible.

 

Compliance made simple. Contact us and we'll show you how.

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The system is easy to integrate into routine billing activities and can help any provider with a large volume of Medicare claims avoid expensive penalties and manual searches. It's a simple way to stay on top of all 72-Hour Rule issues when managing a large number of Medicare claims.

A High Volume Solution

When handling a large number of Medicare claims, the Emdeon 72-Hour RuleCheck can pay for itself time and time again. It was designed specifically to help hospitals and large providers efficiently handle their high volumes with ease. Its powerful automated search capabilities can help lead to quick, corrective actions that enhance compliance, increase efficiency, and save time and money.

 

Features

  • Automatic Pre/Post-Billing Reviews
  • Reports of All Accounts with Potential Conflicts
  • Correction of Claims Before or After Adjudication or Rejection
  • Easy Integration with Billing Activities

Benefits

  • Reduced Possibility of Fines & Penalties
  • Automation of Manual Search Tasks
  • Enhanced Program Compliance
  • Improved Staff Productivity & Reduced Errors
  • The U.S. Healthcare Efficiency Index is a forum for raising awareness and monitoring business efficiency in healthcare.

  • We are working diligently to deliver solutions enabling our customers to meet HIPAA 5010 requirements seamlessly!