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At Navicure, we’re constantly listening to our clients and finding ways to make their lives easier with new products and solutions. Here are a few of our newest products:
Processing claims in an enterprise environment adds complexity to an already challenging undertaking. How do you identify and eliminate problems in the claims management process when you are managing multiple processes? How do you ensure rejected claims are corrected and resubmitted quickly when claim volumes are extremely high?
Now, Navicure gives billing services, MSOs and multi-dimensional practices the power to manage claims processing across the entire enterprise, or drill down to the customer/location level with a few mouse clicks and without leaving the initial Scoreboard screen. This powerful capability can significantly enhance operational efficiency and enable billing managers to eliminate claim-killing errors at their source. No matter where they occur in the claims management process.
The Navicure Enterprise Scoreboard enables you to:
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Create worklists and reports that span the entire organization to spot rejection trends and eliminate processing errors |
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Easily drill down to the practice/location level to work claims and create reports at a more granular level |
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Correct and resubmit claims in a real-time, online environment with a few mouse clicks |
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Enhance efficiency and better serve your physician customers |
Medical necessity submission errors can significantly increase the time it takes to get your medicare claims paid. Now, Navicure has a solution. The Navicure Medical Necessity Edit Suite is designed to reduce medical necessity claim submission errors.
These edits examine Medicare claims and identify errors prior to sending the claims for adjudication. This enables your practice to correct and resubmit claims immediately, rather than waiting at least 14 days for a response from the payer.
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by correcting and resubmitting claims immediately. |
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by flagging procedure codes that don't have supporting diagnosis codes. |
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by ensuring all necessary diagnosis codes are present prior to submission to Medicare. |
These new Navicure edits will enable users to ensure that Medicare claims are in compliance with the National Correct Coding Initiative (NCCI) developed by the Centers for Medicare & Medicaid Services (CMS). NCCI edits identify pairs of services that normally should not be billed by the same physician for the same patient on the same day. The NCCI includes two types of edits – Comprehensive / Component and Mutually Exclusive.
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identify code pairs that should not be billed together because one service inherently includes the other. |
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identify code pairs that, for clinical reasons, are unlikely to be performed on the same patient on the same day. |
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