MED285 week8
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American National University *
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285
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Law
Date
Jan 9, 2024
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docx
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Uploaded by SwaveyLove
Describe the differences between filing electronic claims and filing paper claims. The difference between filing electronic claims and filing paper claims is that electronic claims involve submitting claims digitally and utilizes specialized software which eliminates the need for physical paperwork and allows for faster and more efficient processing. Furthermore, electronic claims often have faster reimbursement times compared to paper claims and electronic claims can also reduce the possibility of errors.
As for filing paper claims, filing paper claims would involve submitting physical copies of claim forms, documents and additional types of information. This would require manual data entry and can be more time consuming and prone to errors, especially if handwriting or legibility is an issue. Explain the role of a clearing house.
A clearinghouse in healthcare acts as a liaison between healthcare providers & insurance groups. The main function
of a clearing house is to process and oversee claims that are sent by healthcare providers and then send them to the proper insurance companies for compensation. The clearinghouse checks the claims for mistakes or missing information and ensures that they meet the necessary requirements before being submitted. Overall, the role of a clearinghouse is to simplify and exchange information between healthcare providers and insurance companies and allows for faster and more accurate payment processing. In addition to claim validation, clearinghouses also handle
other tasks such as managing eligibility benefits verification and many other things.
How many clearinghouses there are currently.
As for the number of approved clearinghouses currently available, it's challenging to provide an exact figure as can vary over time. To my knowledge currently there are 10 clearinghouses. Which claim is faster a paper claim or an electronic claim and why?
. Medical Billing Services. (2021, March 8). https://www.medicalbillersandcoders.com/articles/revenue-cycle-management/which-claim-is-faster-a-paper-claim-or-an-electronic-claim-and-why.html
What is a Clearinghouse?
. HRSA. (2021, July). https://www.hrsa.gov/about/faqs/what-clearinghouse
HealthPartners® Provider
. Approved clearinghouses. (n.d.). https://www.healthpartners.com/provider-public/edi/clearinghouses/
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