Implementing a process that submits clean claims leads to one of the most significant redutions in days in AR.  read more…

Encoda’s Back Office Claims Manager swaps files directly with your payers, avoids the costly manumation and third party layers that practices typically rely on, while realizing the true intention of automation… read more…

When we started to write our Exception Manager we did not know it was going to be an Exception Manager. We thought it was going to be a Denial Management System and we thought that denials happen on the EOB. It took us six months of writing and saying, “Oh…”, then writing some more and saying, “Oh…” some more until we got it right. It took 5 years to hone the process flows and working closely to meet the process needs of a well tuned billing office. At Least we think so. You be the judge… read more…

Studies show that 3% -12% of claims never make it to an Explanation Of Benefits; and in fact practice management systems and clearing houses regularly lose track of these claims. In one case we discovered 87,000 claims totalling over $11 million in charges going back four years that were marked billed in the practice management system and then simply went dead. No denials, no payments, no adjustments, nothing… read more…