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Thursday 31 March 2011

Claims Processing System: Making Our Life Easy


Claims processing and management is a very tedious task. There is always a tremendous load of claims processing on medical practice as well as insurance companies. Manual claims processing is a time consuming process and often leads into a no. of errors resulting into delayed reimbursement of claims. This is also a hit back on the image of a medical practice or the insurance company. However, the advanced claims processing systems available in the market today are making our life easy. It is also said that behind every successful insurance company is a sophisticated claims processing system. 

A competent claims processing system helps in timely settlement of claims and to build up positive rapport with the client. An advanced claims management software eliminates human error by automating the entire process providing complete access to claims data records with the simple click of a mouse. A powerful management tool, claims management software helps to analyze and organize data to deal with complex litigation. It helps to bridge the gap between the applicant, submitter and the payer. Its an intelligent, unique piece of software that aims at simplifying the process of claims management. 

Every competent claims processing system offers certain basic advantages: Claims Eligibility Checking, Claims Submission Module, Claims Status Verification, Error Handling & Resubmission,  Seamless Integration,  Remote Access and Security, Quick Overall Claims Processing, Increased Claims Processing Productivity and Reduction in Administration & Claims Processing Cos.

Taking into consideration the above features; choosing the appropriate claims processing system is of utmost importance, know that the best system options will reduce the risk of exposure, increase corporate productivity, develop preferred customer service relationships, and reduce claims processing time. The choice is more than just a claims processing system, as your decisions could potentially differentiate your company over that of the competitor.

Thursday 10 March 2011

Claims Processing System: A Cost Saving Option for Claims Processing



The world is changing and so is the healthcare industry; the healthcare IT systems like claims processing systems are gaining immense popularity across the entire healthcare and medical insurance industry, In fact, the manual methods of processing the medical claims is very tedious, which involves consumption of large no. of man hours. The processing takes long time and is often not free from errors that again results into more wastage of time. The reimbursement usually takes long time resulting into inconvenience for the submitter.

Taking into consideration the advantages of claims processing systems; the penetration of electronic claims processing has increased by leaps and bounds. According to a recent study, the 3 / 4 ths of all health insurance claims are now submitted electronically, up from 24 percent in 1995, allowing 98 percent of claims to be processed within a month of receipt from the health care provider. The proportion of insurance claims submitted to health plans electronically has more than tripled in the last decade, reducing administrative costs and significantly speeding up payments to doctors and hospitals.

In 2002, just 44 percent of claims were submitted electronically, compared to 75 percent today. More & more healthcare providers are implementing claims processing systems. The reason is quite obvious - there is often a significant delay before health insurance plans receive claims from health care providers, especially for those claims still submitted on paper.  In 2006, nearly 3 claims in ten were received more than 30 days after the date of patient service, with one-third of the paper claims not reaching the insurer for 60 days or more. Electronic claims processing has put a check-mark on delayed claim submissions.

Manual claims processing is very costly; the amount spent on paper claims processing is about $1.58. Pended claims requiring manual or other review cost $2.05 on average per claim to process. Where as, the average cost of processing a clean electronic claim with the help of claims processing system is just about 85 cents, nearly half the cost of processing a clean paper claim. Pended claims requiring manual or other review cost $2.05 on average per claim to process.  Huge quantity of claims need to be submitted & processed each month; the amount saved by implementing a claims system could be a big money for the providers and healthcare facilities.

Friday 4 March 2011

Total Health IT Solutions - The Somega Advantage




Somega is a complete healthcare IT solutions company. Hardware, software, connectivity and 24/7 tech support solutions for healthcare providers, that automates key processes of revenue cycle management and electronic health records in secure, compliant and cost effective manner. Somega is determined to offer the entire gamut of healthcare information technology solutions under one roof.

Healthcare IT is transforming the face of healthcare industry. The physicians office, hospital setup and various healthcare facilities are all getting automated. There are various obvious advantages of automation - effortless management, time savings, minimization of errors, improved patient care, and reduction in costs. The healthcare IT systems are not only helpful to the physicians, however, they have also proved to be of great help to the patients.

Here at Somega Healthcare, we understand your needs... we understand how important it is to implement healthcare systems in a physicians office or a hospital setup. The implementation involves a no. of steps to be followed. Somega believes in offering a complete range of services to avoid the difficulties involved in the implementation. It is very difficult for a healthcare professional or a hospital to deal with each n every piece of IT requirement separately.

Somega, offers all the healthcare IT solutions as a package - hardware, software, networking, IT systems and support under one roof. Somega is determined to simply the whole process of implementation of healthcare IT systems and to make life easy for the healthcare professionals. Here at Somega we have developed  advanced healthcare IT systems to suit your requirements, we implement the system, we train you and also offer you with 24/7 customer support.

... The Somega Advantage!