IN THIS ARTICLE:
- What a claims clearinghouse does for DME billing
- TrueSight’s unique clearinghouse connection
- The impact of a streamlined clearinghouse process
The Basics of the Claims Clearinghouse
In an industry as complex as DME billing, the efficiency of your claims process can mean the difference between financial success and ongoing struggle. Maintaining a healthy revenue cycle — and, in turn, a healthy cash flow — starts and ends with your ability to streamline your billing process. Though few realize it, the clearinghouse holds immense sway over your process.
Many billing teams incorrectly assume that there’s only one way to integrate the claims clearinghouse into their process. The typical method, however, frequently results in bottlenecks and inefficiencies. The reality is that not all billing platforms are created equally. The software you choose determines the nature of your relationship with the clearinghouse.
Understanding the Claims Clearinghouse
A claims clearinghouse is a necessary middleman in your billing process. Without it, a DME team cannot produce accurate and compliant claims and receive the reimbursement it needs. The clearinghouse acts as a vital filter, catching issues and errors to ensure claims are ready for approval.
While the goal of every clearinghouse relationship is ultimately the same, the means by which that goal is achieved can actually differ depending on the software. Most traditional DME billing systems rely on an overnight batch format, where large groups of claims are sent to be processed in bulk, only to come back with a long list of errors to be reworked. If you’re thinking, “There must be a better way,” we entirely agree. This is how TrueSight came to be.
A Unique Approach to Clearinghouse Connection
TrueSight distinguishes itself with a critical difference from other DME software: currently, it is the only billing platform to feature a direct, real-time connection to the clearinghouse. What does that mean, exactly? There are several key ramifications:
- Instant feedback on individual claims
- Faster turnaround times for error correction
- No time wasted waiting for batch runs
- A more efficient claims process overall
This real-time feedback loop holds the potential to change the game for DME providers, especially those struggling to keep up in the face of huge batch corrections. Instead of waiting for a day or more, TrueSight users can adjust claims as needed while the information is still fresh in their minds. This minimizes wait times, maximizes learning, and revolutionizes claims processing like never before.
Making the Most of TrueSight’s Clearinghouse Connection
To fully capitalize on TrueSight’s unique connection to the clearinghouse, billing teams should know how this feature integrates with the software’s broader capabilities. Here’s how a direct clearinghouse connection empowers your operations:
Real-Time Error Feedback
Instant error feedback is one of the many features that have new users calling TrueSight “the best software I’ve ever used.” While other leading platforms stick to outdated systems known to produce bottlenecks in your process, TrueSight enables you to make corrections on the spot, minimizing denials and accelerating reimbursements.
Opportunistic Learning
By allowing users to correct mistakes while a claim’s information is still fresh in their minds, TrueSight empowers your team members with more effective learning opportunities. In addition to cleaning up errors, this helps to ensure even fewer errors are made in the future.
Seamless Workflow Integration
TrueSight’s connection to the clearinghouse is designed to integrate seamlessly into your existing workflows. By cutting out the dead time required to process clearinghouse batch runs, TrueSight creates a smooth, uninterrupted workflow where claims can be more effectively dealt with, one item at a time.
Experience a Healthier Revenue Cycle With TrueSight
Despite what leading platforms would have you assume, there’s more than one way to connect with your claims clearinghouse. When you invest in TrueSight, you invest in the smartest connection possible. Best of all, TrueSight is designed to be cost-effective for both old and new billing teams, offering superior solutions at a more competitive rate. Our prices are totally transparent — no per-patient fees, no tack-on costs, and no charge for updated features. Ever.
In our industry, efficiency is king. Maximize yours with TrueSight, the billing platform designed to make your job easier.
Make the most of your clearinghouse. Contact TrueSight for your FREE DEMO today.