What you should know:
– Central spanthe leading provider of autism and diabetes care software for ABA and multidisciplinary organizations, unveiled CR ClaimCheckAI, a artificial intelligence solution designed to streamline and revolutionize the claims process.
– With the launch of CR ClaimCheckAI, CentralReach continues its mission to equip healthcare providers with powerful, user-friendly tools that seamlessly integrate into everyday workflows.
Transforming accuracy, compliance and speed
CR ClaimCheckAI stands out as the industry’s first proprietary, fully integrated AI solution for claims management. It allows providers to:
- Improved accuracy: Automatic analysis of claims against payer rules and comprehensive compliance checks minimize errors and denials.
- Improved speed: Submission times are accelerated by automatically resolving common issues such as mismatched names, locations and service times.
- Strengthened compliance: Quarantining non-compliant applications before submission allows corrections to be made before submission, reducing audit risk.
Optimize the entire workflow
Unlike third-party solutions, CR ClaimCheckAI seamlessly integrates with the CentralReach platform, eliminating the need to:
- Connecting to separate systems
- Transfer files
- Perform tedious manual tasks
This streamlined approach allows providers to:
- Reduce administrative burden: Automatic error correction frees up valuable time for patient care staff.
- Increase clean claims rates: Fewer errors lead to faster repayments and better cash flow.
- Minimize audit risks: Proactive compliance checks ensure claims meet regulatory standards.
A significant leap forward
Traditionally, many autism and IDD providers have faced limited claims review resources. Manual checks often covered only 5-10% of claims, leaving a significant portion vulnerable to errors and delays.
CR ClaimCheckAI addresses this challenge by:
- Automation of complete exams: AI analyzes each claim in seconds, a task that traditionally requires multiple full-time staff members.
- Prioritize accuracy: Comprehensive claims reviews ensure all submissions meet payer and regulatory requirements.
Strong demand for a revolutionary solution
Due to the immense demand for CR ClaimCheckAI, access is currently waitlisted. Providers are encouraged to register today to secure their place.
“With increasing compliance obligations and increased scrutiny from payers, improving claims performance is a priority for all providers in the autism and diabetes care market. Current solutions like ad hoc manual controls or using clumsy and disconnected 3rd Third-party tools don’t allow providers to significantly improve their performance without significant manual processing that they can’t afford to do. CR ClaimCheckAI addresses these issues and represents a significant step forward in our commitment to leveraging technology to improve healthcare administration,” said Chris Sullens, CEO of CentralReach. “By automatically resolving a multitude of issues and integrating the quarantine process into a provider’s current workflow, CR ClaimCheckAI will significantly improve net claims rates upfront, accelerate reimbursements and reduce operational burdens, ultimately will allow providers to adapt their services more quickly. and more efficiently. This is the first step toward our vision of creating the industry’s only fully integrated real-time clean claims workflow, so stay tuned for further enhancements in the coming year.
