TALLAHASSEE, FL – “Claims scrubbing” might sound like something that requires a bucket of soapy water and a good sponge, but for medical billing services and physician organizations it’s a valuable technology designed to reduce errors and speed up reimbursement.
That’s the attraction behind ClaimStaker, a claims scrubbing application offered by Tallahassee, Fla.-based Alpha II. Developed jointly by the MEGAS Corp. of Tallahassee and Montgomery, Ala.-based Unicor Medical, ClaimStaker is now being offered by Alpha II after a successful beta test.
Alpha II has announced that CPU Medical Management Systems, a provider of healthcare information software medical billing organizations and physician practices, will integrate ClaimStaker with its MED/FM medical billing and revenue cycle management software system.
The contract follows an April beta test of ClaimStaker with MediNomics, a West Monroe, La.-based revenue cycle management firm.
“ClaimStaker gives our coders and data-entry staff the tools to scrub all claims against CCI edits, LCDs, NCDs and customized macros and rules,” said Patrick F. Lukacs, MediNomics’ CEO. “Our clients not only see faster reimbursement through reduced denied claims, but the denials are now limited to complex coverage issues and requests from insurance companies for paper records to support payment. We are not seeing denials based on medical necessity and inconsistent diagnosis denials, which used to slip through and require rework on the back end.”
Based in San Diego, CPU Medical Management Systems’ software is being used by more than 15,000 physicians nationwide and is billed as the leading software solution in the billing service market.
Founded in 1983, Alpha II Software Solutions was borne out of frustration with the ICD-9 database, leading to the launch a few years later of CodingSystem, an automated code search and edit software for outpatient facilities. The company now serves more than 30 developer partners and 30,000 healthcare providers.