Claims Processing and Reimbursement
require a seamless process to ensure timely and accurate adjudication while capturing critical data for advanced analytics. Analyzing claims data, along with discerning knowledge of patient care, I provide a unique picture of the patient's continuum medical care and history of payment.
My Motto — total commitment to
reimburse
providers accurately and timely
Healthcare claims management:
The claims environment is advancing rapidly with technology and digital developments – from provider submission to payer processing, knowledge of medical codes, classification systems, government regulations is a requirement.
Reimbursing providers:
Physicians, nurses, pharmacist, vendors, suppliers, medical coders, and other professionals deserve to be paid (accurately and timely) for the services they provide. Reimbursing providers for their services shows respect for their medical knowledge and contribution to medicine.
The expertise and value Famey Lockwood and Te-Ar Healthcare bring to claims reimbursement:
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Enhance adjudication process with focus on efficiencies and quality.
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Reduction in claims denials through comprehensive application of member’s plan, provider’s contract and government regulations.
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Perform annual code updates: ICD-10, CPT, HCPCS by staying current with the cooperating parties > CMS, CDC, AMA and AHIMA.
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Collaborate with stakeholders to reduce cost and rework, improve the relationship between providers and payers.
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🗝️ Does Famey know healthcare claims and medical coding?
Read my story --- from UAB School of Nursing to the USAF to Kaiser Permanente and Blue Cross; along the career >>> Business Intelligence, Database Management, and Master of Science Health Informatics.