For over 15 years, VitalWorks’ practice management systems have offered electronic claims processing services, providing faster turnaround time, fewer rejections, increased productivity, and enhanced cash flow.


Today RapidClaim provides even more:
Electronic access to more payors than most clearinghouses
24/7 access
Seamless integration with VitalWorks’ practice managemenElectronic access to more payors than most clearinghousest systems
Claim scrubbing / editing service available
Batch or individual claim submission


Claim Scrubbing Option
VitalWorks’ claim scrubbing option is an invaluable service that works seamlessly within RapidClaim. Payor-specific edits ensure the highest possible acceptance rate and the fastest possible payment. VitalWorks’ claim scrubbing includes:

Medical necessity checking
RVU calculations and geography-based fee schedules
CPT sequencing based on RVUs
“Can’t miss” 4th and 5th digits
Checking for ICD-9 codes that do not support selected CPT code
Checking for ICD-9 codes not at ultimate specificity
Identification of applicable and mandatory modifiers for selected CPT code
CCP edits
Checking for bundling/unbundling errors by applying CCP edits to CPT and HCPCS codes
Payor-specific front-end edits
Verification of referring physician and UPIN when required
Suggests attaching hard copy claim with operative reports, when appropriate
Validation of positive line item charge amounts
Checking for facility IDs for appropriate service
...and many more