EMPClaims

EMPClaims offers solutions for the full lifecycle of claims management and uses a combination of technology and services to optimize reimbursement and reduce operational bottlenecks.

Patient Intake: The intake process is the starting point of the patient’s experience. This involves data collection from the patient, getting prior authorization from the insurance carrier, and collecting any medical records required. EMPClaims offers a solution to automate this workflow and improve the patient experience with a smooth intake process.

Medical Coding: Incorrectly applied medical codes could result in either a higher payment or under-payments. These situations could cause compliance issues for the practice. EMPClaims has a team of certified coders that can assign the appropriate level of coding to ensure compliance and optimal reimbursement. The team has experience working with E&M Coding and Procedure Coding.

Value-based Care Solutions: The industry shift to value-based care requires solutions that are different from fee for Service solutions. Fee for service reimbursement depends on procedure coding, and Value-based care requires risk coding.

Most practices have both contracts and need workflows that accommodate both lines of business. EMPClaims technology and workflow solutions allow practices to implement parallel workflows for Fees for service and value-based care contracts.

Medical Billing: Excellence in medical billing requires process control. Its clean claims submission rate is 94% on average, and it has consistently reached 98%. This level of diligence allows it to deliver a consistently high level of service delivery to its customers.

Workers Comp Solutions: Workers’ comp has a much higher level of complexity than regular medical billing. The employer is the insured, not the patient, and fee schedules are regulated at the state level.

This requires a very different workflow and technology that can ensure accurate reimbursement. EMPClaims has developed technology that allows it to ensure claims are accurately processed with consistent payment.