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Intellect: Claim Scrubbing

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Intellect has partnered with a vendor to “scrub” claims before they are billed. Scrubbing is basically reviewing data for errors based on industry standards; for example, a review of data to see if codes billed are valid. When charges do not pass the edits, they are notified at the time they are posting the charge. 

 

A new [Scrub] button has been added to the Charges screen to facilitate claims scrubbing. This feature is a real-time accuracy check that can be used while entering charges. The scrubber checks:

 

 Validity of Codes  

 Suspicious Units (Medically Unlikely Edits, or MUE)

 CCI Edits

 Age and Gender 

 RVU Ordering 

 

The [Scrub] button is located in the bottom right corner of the Charges screen, as shown below:

 

 

The client posts the diagnoses and charges as usual. Before committing the charges(s), they select [Scrub]. An XML file is then submitted to the vendor via sftp (secure file transfer protocol), and a file returned with any errors.

 

When no errors are found, the vendor returns a response ‘No errors found’

If the scrubber finds errors, a message is returned indicating what the error is. For example:

 

 Wrong age for procedure

 Wrong age for diagnosis

 Wrong gender for procedure

 Wrong gender for diagnosis

 Invalid Modifier

 Invalid Place of Service

 

Before using this feature, it needs to be set up as explained in the online documentation. See New Features in Beta Test --► Claims Scrubbing Feature. Once the claims scrubbing feature has been set up, it can be used on the Charges screen located at Charges --► Charges.

 

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