• Electronic Medical Records (EMR)
• Scheduler with Eligibility Test
• Compliance Management
  + Core Elements
  + Regulatory Risks
  + Auditing and Monitoring
  + Documentation Guidelines
  + Audit Exposure Evaluation
• Data Entry and Payment Posting
+ Charge Entry
• Superbill Interface
• Variety of Claim Entry Formats
• Fax
+ Demographic Data Entry

• Coding
  + Coding Consistency
  + Discovery of Undercoding
• Claim Submission to Payers
• Patient Invoicing
• Follow Up
  
+ Discovery of Underpayment

• Transparency, Analysis and Reporting
• Quality Control
  + Billing Process
  • Payment Distributions
  • Days in A/R
  + Claim Validation
  + Patient Eligibility Testing
  
• Data Center
  

According to the Healthcare Financial Management Association's "Tip Sheet: Medical Claims Denial Management", 2003, the coding error rate is 45% - 55%.

"Such errors result partly from the sheer volume and intricacy of the coding rules. But practices also too often rely on coding custom rather than coding knowledge." - Pamela Moore, PhD, CPC, March 2005, Physicians Practice Vericle's claim validation engine is: + Comprehensive: Pre-service and post-service testing Eligibility, demographics, CPT, ICD-9 + Constructive: Built-in search and reference tools for error resolution + Effective: Integrated communication vehicle with the provider for fast error correction