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McKesson's Transaction Solutions Hub EDI clearinghouse service supports the entire revenue cycle from real-time access to insurance eligibility and address/credit information checking prior to care, through claims compliance and submission, to remittance advice and patient billing. With solutions that help providers to automatically identify services that do not meet payor coding and billing guidelines as well as those that require additional documentation to support reimbursement. Organizations can also simplify patient communications by utilizing McKesson’s patient billing and print services. You can access the following tools via the Transaction Solutions Hub portal: - Eligibility Verification: Automates the verification process for insurance eligibility from payors, saving staff time, streamlining registration, and reducing the errors and omissions that lead to denials
- Address & Payment Validation: Helps reduce returned mail and self-pay bad debt write-offs by verifying patient demographic information and credit status, including charity and Medicaid qualification
- Claims Control: Automates claim editing to identify errors before submission, eliminating rejections, and online billing shortens submission and payment cycles
- Compliance Control: Audits clinical codes against the most comprehensive database of rules for state and federal coding to prevent claim rejections and possible fines, and when integrated with McKesson’s online claims editing and billing tool, you can streamline workflow even further by adding additional editing capabilities
- Electronic Remittance Advice: Captures remittance advice from payors and translates into a standard format for automatic posting to eliminate data entry errors, maintain accurate A/R days and lower administrative costs
- Print Services: Produces patient statements and collection letters via McKesson’s print service center to reduce costs, save staff time and improve patient satisfaction
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