IN THIS ARTICLE:
- The role of a clearinghouse in DME billing
- How to cut overnight batch runs out of your workflow
- TrueSight’s unique clearinghouse API connection
Why a Direct Clearinghouse Connection Matters for DMEs
Efficiency is everything to a successful DME billing operation. Timely and accurate processes are critical both for maintaining a healthy revenue cycle and serving patients with the care and quality they deserve. After roughly twenty years of experience in DME billing, the team at Medbill decided to channel its expertise into a single toolset — one that could challenge the worn-out norms of billing with a newer, more practical approach.
TrueSight is the only DME billing software powered by Medbill and the first platform of its kind to offer a direct connection to the clearinghouse. Simple as this sounds, the potential ramifications for your billing operations are huge. Here’s how it works.
The Clearinghouse’s Role in DME Billing
For those unfamiliar, a clearinghouse is a vital part of the lifecycle of every DME claim. This station acts as an intermediary between providers and payers, facilitating the electronic exchange of medical claims information.
In a typical billing workflow, claims are sent to the clearinghouse in bulk overnight, resulting in days between the initial creation of the claim and the critical feedback that makes final approval possible.
Challenges of Traditional Clearinghouse Connections
Traditional clearinghouse connections come with several distinct challenges which the industry has come to accept as just “part of the job.” First and foremost is the needless delay in feedback due to overnight batch processing. This means that any errors in claims will not be identified or addressed until the next day at the earliest. And, when that feedback does arrive, it appears all at once. This unfortunate system regularly results in:
- Bottlenecks in clearinghouse claims submission
- Delayed and ineffective learning
- Unpredictable slow-downs in the revenue cycle
- Obstacles in overall operational efficiency
How Direct Connection Fixes Clearinghouse Claims Submission
TrueSight brings a unique approach to the DME billing process with a direct connection to the clearinghouse. This results in real-time feedback on individual claims, making overnight batch runs entirely obsolete. The results are potentially game-changing:
- Instant feedback on individual claims
- Hours to days of time saved
- Improved learning curve through opportunistic learning
- More predictable and streamlined claim lifecycles
TrueSight’s One-of-a-Kind Clearinghouse Connection
TrueSight achieves this remarkable, one-of-a-kind feature through what’s called API integration — the same technology that connects us to other integration partners, cleverly applied to the clearinghouse. This direct connection allows errors and issues on claims documentation to be flagged for correction immediately, one claim at a time. It’s all part of TrueSight’s user-first philosophy: when your tools work for you, the job gets done faster and more accurately.
The Potential Impact on Your DME Billing
For DME billing teams, both experienced and brand-new to the field, the potential advantages of such a feature are numerous. A direct connection can offer hours and days of saved time on claims processing, which translates to improved revenue cycles and astronomically improved operational efficiency.
To say that a direct connection to the clearinghouse foreshadows a paradigm shift in the DME industry would be an understatement. As more and more providers join the movement, TrueSight is proud to lead the way into a brighter, clearer future of billing. To discover what this innovative new approach to clearinghouse claims submission could mean for your practice, contact TrueSight today. Your personalized demo is absolutely free.
Seeing is believing. Contact TrueSight for your free demo today.