Billing Quality Measurement: Affinity Billing is obsessed about metrics and transparency. We measure every aspect of our process, personnel productivity, and technology availability. Our metrics are comprehensive, conservative, and accessible. Click here to see how our definition of a sample metric reflects the entire payment process and prevents misinterpretation and embellishment. Click here for a comparison of payment distributions.
Claim Validation: Affinity Billing’s knowledge base has over one million rules to test claim compliance and to identify a wide scope of errors prior to both service delivery and claim submission.
Vericle® uniquely tests data both pre-service and post-service-pre-submission, ensuring highest quality submissions and drastically reducing rejections.
Pre-service: demographics and eligibility at the point of patient scheduling.
Pre-submission:
- Format, missing data, conflicting content, regional LMRP's, CCI on a national level, payer-specific, custom practice-specific and patient eligibility
- Built-in Data Integrity - Prevents invalid data entry
Content validation rules include general and payer-specific rules.
Claim Pricing: Manage private pay price lists as well as insurance contracts and standard Medicare fee schedules, including conversion factors, carve outs, and exceptions. Residual balances after primary and secondary payments are routed directly to ExpressBill for batch printing and mailing. |
