PAYER AND FRONT END REJECTIONS

Clearing house rejections or Payer and Front end Rejections are billing problems which slow down your cash flow. These are process errors and can be reduced to zero. Rejections occur due to one or many errors on the claim form and are returned back to the biller by the payer because of these errors. Errors!……Seriously? Do you want to dent your receivables because of clerical errors?

At QWay Health, Payer and Front end Rejections are handled by staying updated, following due diligence, communicating adequately and aptly, and following through. We strictly audit all the important touch points to ensure that the claim is not returned due to clerical error.

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Unlike Denied Claims, rejections occur due to errors like Incorrect Patient Information, Incorrect provider Information, Incorrect Insurance Provider Information, Incorrect Codes, Mismatch and omission of codes, Undercoding, Upcoding and poor documentation.

QWay strives to reach the highest level of accuracy when it comes to sending a clean claim and we get down to meticulous checking of every detail on every claim form. We study new codes, stay vigilant to avoid trivial errors like misspellings and digit errors, co-ordinate with the payer company, and follow up with the representative who works on that claim.

frequently asked questions

  • What are Payer and Front Rejections?

    These rejections occur as the insurance is unable to identify the Patient, Member ID, provider information, Missing insurance type, under coding and poor documentation. Missing/Incorrect information on the claim will cause the insurance to reject the claim. Clearinghouse or Payer end rejections is one of the causes to slow down your practices cash inflow however; clerical errors can be eliminated at QWay. The experienced staff makes sure there are little or no Payer and Front end rejections by staying constantly updated.

  • How do I eliminate such errors from happening?

    Audit - A time consuming job however, the effort pays off as little or no errors increase cash flow for your practice. QWay proposes hiring experienced billers with a flair for detail, identifying clerical errors dealing with the rejections seriatim.

  • How does QWay help the practice?

    QWay strives to reach the highest level of accuracy when it comes to sending a clean claim and we get down to meticulous checking of every detail on every claim form. We study new codes, stay vigilant to avoid trivial errors like misspellings and digit errors, co-ordinate with the payer company, and follow up with the representative who works on the claim. QWay’s goal is making sure the biller/Health care provider is rightly reimbursed for their services.

COMPLIANCE / AFFILIATIONS

We Respect Rules & Regulations

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HIPAA

Compliance to HIPAA regulation

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HEALTHCARE BILLING

Robust quality system with stringent controls at highest standards of data security.

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ISO 9001:2015

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