How Hospitals Save Time and Grow Revenue by Outsourcing Medical Claim Processing to OASIS Hospital S
What is Medical Claim Processing?
Medical claim processing is the procedure hospitals follow to submit and track insurance claims to ensure they receive payment for the services provided to patients. This process includes verifying patient insurance eligibility, compiling documentation for services rendered, submitting claims to insurance providers, and following up on any denied or unpaid claims.
Challenges Hospitals Face in Claim Management
Hospitals often face several challenges in managing medical claims, such as:
Complex administrative workload: The claim process involves significant paperwork and detailed documentation, taking time away from core medical functions.
High rejection rates: Errors in documentation or claim submission can result in denied claims and delayed payments.
Time-consuming processes: Hospitals often spend a lot of time following up on claims, resolving disputes, and correcting errors.
Regulatory compliance: Healthcare is subject to ever-changing regulations, and hospitals must ensure their claims are compliant with the latest industry standards.