EMC Captiva ClaimsEditor both eliminates errors and speeds claim processing with tools to ensure coding complies with state Medicare and third-party payer rules and regulations. With advanced proprietary tools for editing, claims corrections, reporting, and workflow management, ClaimsEditor significantly reduces administrative costs, improves regulatory compliance, accelerates cash flow, and reduces audit risk.
ClaimsEditor includes EMC ClaimsEditor Professional, which examines whole claims and identifies problems, from procedure-to-diagnosis mismatches to potential unbilled revenue. It also includes EMC ClaimsEditor Online, which applies payer-specific clinical and technical edits—prior to submission—to third-party payers.
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