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Revenue Cycle Optimization
Edits, Scrubbing & Payer Follow-Up
That Accelerate Payments
Reduce claim rejections, minimize denials, and improve cash flow with comprehensive billing edits and proactive payer follow-up.
Overview
Eliminate Preventable Denials & Payment Delays
Claim denials and payment delays are often caused by preventable billing and coding errors. UIGS Care provides end-to-end edits, claim scrubbing, and payer follow-up services to ensure claims are accurate, compliant, and reimbursed faster. Our structured workflows help maximize first-pass acceptance while reducing rework and revenue leakage.
Precise EditsPre-submission validation and correction
Thorough ScrubbingMulti-layer claim quality checks
Active Follow-UpProactive payer communication
Revenue RecoveryUnderpayment identification and appeals
95%+
Clean Claim Rate
45%
Reduction in Claim Rejections
35%
Faster Payment Turnaround
↑
Improved Collection Efficiency
Our Services
Edits & Claim Scrubbing Services
Multi-layer validation to ensure every claim is clean, compliant, and ready for reimbursement.
Pre-Submission Claim Edits
- Demographic accuracy validation
- Provider and facility credential verification
- Diagnosis–procedure compatibility checks
- Modifier appropriateness review
- Place of service verification
- Duplicate claim detection
Coding & Compliance Edits
- ICD-10, CPT & HCPCS consistency checks
- NCCI edit validation
- Bundling and unbundling review
- LCD and NCD compliance checks
- Medicare and commercial payer rules
Clearinghouse Scrubbing
- Real-time clearinghouse edits
- Error identification and correction
- Rejection prevention
- Batch claim quality review
Payer-Specific Scrubbing
Tailored Scrubbing for Every Major Payer
Custom edit rules and validation logic for each payer's unique requirements.
Medicare & Medicaid
Blue Cross Blue Shield
UnitedHealthcare
Aetna
Cigna
Humana
Managed Care Plans
Follow-Up Services
Payer Follow-Up Services
Proactive follow-up and monitoring to ensure every claim is resolved and paid.
Post-Submission Monitoring
- Claim acknowledgment tracking
- Clearinghouse status monitoring
- Payer acceptance confirmation
- Timely resubmission when required
Insurance Follow-Up
- Phone and portal follow-ups
- Claim status verification
- Documentation review
- Escalation handling
Underpayment Identification
- Allowed vs paid comparison
- Contractual variance review
- Underpayment recovery
- Corrected claim and appeal submission
AR Management
Aging Accounts Receivable Management
Structured AR follow-up at every aging bucket to maximize collections and minimize write-offs.
0–30 Days
AR Monitoring
Early-stage claim tracking and status verification to catch issues before they age.
31–60 Days
Insurance Follow-Up
Active payer outreach to resolve pending claims and missing information requests.
61–90 Days
Escalation Review
Detailed claim review and escalation to payer supervisors or appeals teams.
90+ Days
Resolution Strategy
Final resolution with appeal filings, corrected claims, and write-off analysis.
Compliance
Compliance & Standards
Every edit and scrub aligns with the latest regulatory requirements and payer mandates.
CMS Billing Regulations
AMA Coding Guidelines
HIPAA Standards
NCCI Edits
LCD & NCD Policies
Commercial Payer Rules
Quality Assurance
Our 6-Step Quality Assurance Process
Every claim passes through a rigorous quality pipeline to ensure accuracy and compliance.
1
Edit Validation
Thorough edit checks
2
Claim Scrubbing
Multi-layer scrubbing
3
Clearinghouse Review
Real-time edit review
4
Payer Confirmation
Acceptance verification
5
Follow-Up Docs
Complete documentation
6
Final Resolution
Resolution verification
95%+
Clean Claim Rate
↓
Reduced Rejections & Denials
↑
Faster Payment Turnaround
Key Benefits
Benefits That Impact Your Bottom Line
Tangible improvements to your revenue cycle from day one.
First-Pass Acceptance
Increased first-pass claim acceptance with cleaner submissions.
Reduced Rejections
Fewer claim rejections through comprehensive scrubbing.
Faster Reimbursements
Accelerated payment cycles with proactive follow-up.
Lower AR Days
Significantly reduced accounts receivable aging.
Improved Payer Communication
Stronger relationships and faster issue resolution.
Revenue Realization
Increased revenue through underpayment recovery and appeals.
Who We Serve
Healthcare Providers We Support
From solo practices to large health systems, we scale to meet your billing needs.
Physician Practices
Hospitals & Health Systems
Ambulatory Surgery Centers
Emergency Departments
Imaging Centers
Multi-specialty Clinics
Medical Billing Companies
Technology
Technology Supported
Seamless integration with all major EHR and practice management platforms.
Epic
Cerner
Athenahealth
eClinicalWorks
NextGen
AdvancedMD
Kareo
Practice Fusion
Results Delivered
Proven Results That Drive Revenue
Real, measurable improvements to your revenue cycle performance.
30–45%
Reduction in claim rejections
20–35%
Improvement in payment turnaround
↑
Improved collection efficiency
Why UIGS Care
Your Trusted Revenue Cycle Partner
Industry expertise backed by technology and a commitment to your success.
Experienced Specialists
Experienced billing and AR specialists on your team.
Payer-Specific Expertise
Strong payer-specific expertise across all major insurers.
Dedicated Follow-Up Teams
Dedicated teams focused on claim resolution and recovery.
Transparent Reporting
Transparent productivity reporting with clear metrics.
Scalable Delivery
Scalable delivery model that grows with your practice.
Clean Claims. Faster Payments. Stronger Cash Flow.
Partner with UIGS Care for reliable edits, scrubbing, and payer follow-up services. Start your free trial today or request a complimentary billing review.