Improve Your Revenue Cycle With Electronic Document Management

By Phil Sullivan, VP of product marketing and management, dbtech

So why is this so important? Adhering to the X12 EDI 5010 requirements allows for larger field size of ICD-10-CM as well as other improvements, and is a critical preliminary step towards achieving success on October 1, 2013 when ICD-10 becomes the standard for documenting diagnoses and procedures. This is the largest and most enterprise encompassing healthcare project in more than twenty years.

Healthcare users can gain tremendous benefits by capturing, converting, and automating tasks related to payment and remittance transaction sets with an electronic document management solution. For instance, many providers have reported problems with insurance payers transmitting non-standard transaction sets. With the Ras X12 module and 5010 support, customers will be able to test their payers against specification standards.

It is common for healthcare providers to create multiple versions of their 837/5010 EDI Health Care Claim Transactions, one directly from their billing systems, another from their billing scrubber and perhaps a third from their clearinghouses. The edits between these versions can become confusing when trying to QA payer reported errors. Ras customers with X12/5010 can easily track multiple versions of their EDI 837 files prior to transmittal. These transaction sets are maintained in their original X12 format as well as a human-readable format. Keep everything you need in your electronic document management system for as long as you need without fear of over-utilizing disk space on your network or within your claims scrubber application.