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OCExaminer Gives More Cash to Hospitals
Date:3/23/2009

FORT LAUDERDALE, Fla., March 23 /PRNewswire/ -- With the economic crisis facing this nation, hospitals are looking for ways to improve their cash flow.

There are many companies offering various services and ideas on how to improve revenue. Most, if not all, concentrate their efforts on the front-end registration process, dealing with eligibility and making sure the patients have enough insurance coverage. All these procedures are important and are a good practice to follow them.

However, there is one component of the revenue cycle flow that is lacking. That is proper setup and use of a scrubbing system. In order to have a clean claim, the billers need to know how to work the scrubber, understand the results and most of all rely on the information from the edits.

There are companies that would spend hours of research and development, concentrating on how well the electronic file is built so the insurance company will accept it. However, even though it is an important step as part of claim submission, how perfect is the information within the file? What if you do not have electronic file submission established for all the carriers?

Omega Technology Solutions has created a web-based scrubber going beyond what a scrubber can do.

OTS has been working for five years building and testing the product called OCExaminer. This system allows for on-demand claims editing, identifies potential lost revenue, acts as a "Safety Net," has pre-built edits ensuring compliance and lets the hospital decide what they want to review.

There are three components dealing with hospital claims:

  • Compliance
  • Lost Charges
  • Payer-specific

There are five modules built into OCExaminer:

  • Outpatient Medicare
  • Carve out
  • Int
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SOURCE Omega Technology Solutions
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