Medicare gives coverage to procedures and services for around 43 million patients all over the country. The greater part of coverage is given on a local level as Local Coverage Determinations (LCDs), which are laid out by the MACs dealing with the Medicare program in a particular local area or state which is automatically identified by utilizing Robotic process automation technology. Read more https://bit.ly/3FkIu2B

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Saves time and
effort in
researching all
the coverage
articles
Allows
physicians to
abide “No
surprise act”
Your billing staff can concentrate
on more pressing matters of
performing claim transmissions,
coding, patient collections etc
rather than spending hours in
researching current coverage l
determination and claim edits
guidelines with Robotic process
automation.
According to no surprise act, all
physicians and clinicians are
mandated to inform patients
about covered and non-covered
services in their area. Robotic
process automation will eliminate
sudden financial burden for the
patients and allow continuous
patient care by providing
appropriate coverage
determination using Robotic
process automation.
Because the RPA bots contain all
the federal and state guidelines
encoded in its protocols and
integrated with the EHR, all your
biller needs to do is enter the code
to find out whether your local or
national coverage is paying for that
service or procedure.
RPA bots assists your hospital or
medical group to comply with
regulations issued by state or
federal healthcare authorities and
prevents mass fines due to incorrect
regulatory compliance related
lawsuits.
Adding new
services
made easier
Regulatory
compliance
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Reduction of
human
errors
Collaboratio
n of multiple
MACs
RPA reduces 100% pre-claim
transmission tasks and allows you
to correct mistakes along the way
the protocols set in such a way if
there is any coverage
determination or claim edits
mistake it will let you know then
and there instead of going to the
clearinghouse and getting
rejected.
Robotic process automation bots
have the ability to download data
for multiple states, which is
critical for organizations with
multiple MACs which means that
healthcare systems and
organizations which have
hospitals in several states can
function better using RPA
coverage determination and
claims edits.
Billers looking to up code or bill
multiple units for the same service
can be stopped before external
audits take place. RPA bots keep
the hospital or medical groups RCM
process clean from such inaccurate
behavior.
RPA implemented CMS edits grasps
the weight these public strategies
convey for Medicare asserts and
have independently broken down
each NCD for extra coding/editing
amazing open doors beside those all
around explicitly recognized in the
strategy (i.e., CPT codes, and so
forth.). Each NCD was widely
evaluated and at last endorsed by a
work bunch, two supervisors and a
clinical chief.
Avoid
inaccurate
billing
behaviors
Deciphering
of all edits
and articles
according to
your
hospital or
medical
group
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8 BENEFICIAL FACTS OF
USING RPA CLAIM EDITS,
LOCAL AND NATIONAL
COVERAGE DETERMINATION
inquiries@billingparadise.com
+1 888-571-9069 billingparadise.com