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Functional Area
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Deployments
Live
Charge Edit - Missing Contrast
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Live
HCC Risk Modifiers
Coding
1
Clean Claim Rate
1
Live
Provider Enrollment - MD Staff - Claim Management
Provider Enrollment & Credentialing
1
Initial Denial Rate
1
Live
Appeal Submission - Evaluation and Management (E+M)
Denials & Appeals
1
Denial Write offs
1
Live
Authorization Denial Resolution - HPHC, Tufts, UHC
Denials & Appeals
1
Denial Write offs
1
Live
Authorization Denial Resolution - BCBS
Denials & Appeals
1
Denial Write offs
1
Live
Charge Edit - Non-Affiliated Site of Care
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Live
EKG Modifiers 76/77
Coding
1
Clean Claim Rate
1
Cancelled
Adding Z Modifiers
Coding
1
Clean Claim Rate
1
Cancelled
Charge Edit - Missing Contact
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Cancelled
Medicare Benefits Check
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Decommissioned
Medical Record Uploads - Availity
Denials & Appeals
1
Denial Write offs
1
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