Medical Billing is a complicated field with many moving parts. Large amounts of data are being transferred between practice management systems, clearinghouses, and payers, which can cause a variety of issues when submitting claims, preventing practices from getting paid in a timely manner. Common errors that are made when filing claims include the following:
- Entering incorrect information for the provider (Name, Contact Information)
- Entering incorrect information for the patient (Name, Gender, Date of Birth, Insurance information)
- Entering incorrect information for the insurance providers (Policy Numbers, Contact information)
- Inputting incorrect procedure codes or ICD-10 codes
- Inputting mismatched treatment and diagnostic codes
| Error Type | Common Issues | Impact on Claims | Prevention Method |
|---|---|---|---|
| Provider Information Errors | Incorrect name, contact information | Claim rejection, delayed payment | Automated data validation, integrated EHR systems |
| Patient Information Errors | Incorrect name, gender, date of birth, insurance details | Claim denial, compliance issues | Real-time verification, direct EHR import |
| Insurance Provider Errors | Wrong policy numbers, incorrect contact information | Payment delays, claim rejections | Clearinghouse integration, automated delays |
| Coding Errors | Incorrect procedure codes, wrong ICD-10 codes | High rejection rate, revenue loss | Built-in claim scrubbing, real-time coding edits |
| Code Mismatch Errors | Mismatched treatment and diagnostic codes | Claim denials, audit risk | Integrated coding validation, automated matching |
RXNT offers billing solutions that remedy many of these issues. The integrated Electronic Health Record (EHR) solution allows for information to be directly imported into the RXNT practice management solution, eliminating the possibility of data entry error for procedure codes and ICD-10 codes within the claim. Our solution also features built-in claim-scrubbing, providing real-time coding edits. This feature allows the provider, coder, or biller to drill down to the exact ICD-10 code that he or she would need, removing the opportunity for incorrect entry of these codes, which in turn reduces claim rejections or denials.
Even for those already using a billing solution, the RXNT practice management system offers an enormous amount of value and warrants your consideration. RXNT is directly integrated with one of the largest clearinghouses in the country, Change Healthcare. This integration allows all claim information to flow directly out of the RXNT solution, through the Change Healthcare network, and directly to payers. Once reimbursement has been released by the payers, the Electronic Remittance Advice (ERA) will be available directly within your RXNT account, removing the need to go to any external website to find claim status and payment amounts. This is just one of the many ways that RXNT solutions can save you time and improve your revenue cycle.
Frequently Asked Questions
Does RXNT’s medical billing solution integrate with EHR systems?
Yes, RXNT offers fully integrated Electronic Health Record (EHR) and practice management solutions. This integration reduces claim rejections by automating code validation and ensuring accurate patient demographics transfer.
How does RXNT prevent ICD-10 coding errors?
RXNT features built-in claim scrubbing with real-time coding edits that validate ICD-10 codes before submission. The system allows providers and billers to drill down to the exact ICD-10 codes needed, preventing incorrect code entry. Automated validation checks for mismatched treatment and diagnostic codes, reducing claim denials and audit risks.
Can RXNT medical billing reduce claim rejection rates?
Yes, RXNT reduces claim rejections through multiple features: automated ICD-10 code validation from integrated EHR, built-in claim scrubbing for real-time error detection, direct clearinghouse integration eliminating manual data transfer, and automated verification of provider, patient, and insurance information. These features address the five most common billing errors that cause rejections.
Is Electronic Remittance Advice available in RXNT?
Yes, Electronic Remittance Advice (ERA) is available directly within your RXNT account after payers release reimbursement. You can view claim status and payment amounts without logging into external clearinghouse websites. This in-platform ERA access saves time and improves revenue cycle management by centralizing all billing information in one system.
Does RXNT’s medical billing solution work for practices in 2026?
Yes, RXNT medical billing is current for 2026 with updated ICD-10 code libraries, compliance with current HIPAA regulations, and integration with modern clearinghouse networks. The system includes 2026 procedure codes, current insurance verification protocols, and real-time updates for regulatory changes affecting medical billing practices.
For more information on how the RXNT solutions can help your practice, contact us at 1-800-948-7968 option 3 or [email protected]. Ask us about a live, online demonstration of our solutions.
