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The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System

SSI Healthcare Rev Cycle Solutions

The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System Home / November 29, 2023 In the constantly evolving landscape of US healthcare, the story of electronic medical claims and revenue cycle management stands out as a testament to technology’s transformative power.

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Healthcare Industry Shifting to More Efficient Claim Statusing

SSI Healthcare Rev Cycle Solutions

The 277 response is designed to enable the automatic posting of the status information directly to patient accounts, eliminating the need to manually enter individual queries. A well-known alternative to obtain claim status information is through the use of DDE (Direct Data Entry).

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Prior Authorization FAQ for Healthcare Providers

SSI Healthcare Rev Cycle Solutions

This current system is repetitive and prone to errors, often requiring hours of time-consuming detective work and manual data entry. Most data today can be extracted using FHIR. Today’s prior authorization processes mostly rely on inefficient manual efforts using phone, fax, and web portals.