CentralReach said Bronco Billing has developed proven workflows that not only help clients improve their clean claim
rates but also help them uncover missed revenue from otherwise unfiled claims.
Submit a clean claim
(refer to Provider Manual Chapter 5)
"This commonsense legislation would bring greater transparency to pharmacy payments by informing pharmacies at the point of sale what their reimbursement will be for clean claim
prescriptions and allow for better business planning," the letters concluded.
He added that the VA offers providers training on how to submit a clean claim
. There's also a move within the VA, he said, to streamline the payment system from the seven different ways community partners are currently paid for administering care into a single, standardized method.
Neisha's stance on rapid clean claim
submission has enabled Medivance Billing Service to transmit on average, over $65 million in claims monthly for their clients.
Not less than 95% of "clean claim
" payments must be issued, mailed, or otherwise transmitted within specified time limits.
Pay all benefits payable under policy for a clean claim
where claims are submitted electronically
* Definitions of terms such as clean claim
, insurer, provider, etc.
(a) A licensed insurer or a managed care plan shall pay a clean claim
submitted by a health care provider within forty-five (45) days of receipt of the clean claim
The contract should define a "clean claim
" and should require the MCO to promptly notify the nursing home of questionable claims.
A clean claim
, according to Congress, is one "that has no defect or impropriety .
"Medicare will pay in 21 days if you send them a clean claim
to begin with," Klaber says.