{"id":25394,"date":"2023-06-13T12:14:29","date_gmt":"2023-06-13T16:14:29","guid":{"rendered":"http:\/\/www.carecloud.com\/continuum\/?p=25394"},"modified":"2025-10-22T12:20:29","modified_gmt":"2025-10-22T12:20:29","slug":"revenue-cycle-management-scrubbers-role","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/revenue-cycle-management-scrubbers-role\/","title":{"rendered":"What Do Scrubbers Do in Revenue Cycle Management?"},"content":{"rendered":"

Medical billing can be a complicated process. The smallest of errors can lead to denied claims and a whole lot of lost time. The State of Claims 2022 <\/span>report from Experian Health<\/span> states that healthcare claim denials are a recurring issue for healthcare providers.\u00a0<\/span>\u00a0<\/span><\/p>\n

According to up to <\/span>75% of survey participants<\/span><\/a>, claims are rejected between 5% and 15% of the time. About 33% of claims were rejected 10% to 15% of the time.\u00a0<\/span>\u00a0<\/span><\/p>\n

Claims management is now more crucial than before the pandemic, according to <\/span>72% of respondents<\/span>. This is why healthcare organizations usually outsource medical billing to avoid denied claims or lost revenue.\u00a0\u00a0<\/span>\u00a0<\/span><\/p>\n

Revenue Cycle Management (RCM) solutions<\/span><\/a> contain claim scrubbers. Claim scrubbing is crucial to check for errors in claims before submitting them to payers. It results in faster payment.\u00a0<\/span>\u00a0<\/span><\/p>\n

Therefore, in this article, we will discover what claim scrubbing is, what the process entails, and its benefits.<\/span>\u00a0<\/span><\/p>\n

What is Claim Scrubbing?<\/span>\u00a0<\/span><\/h2>\n

Claim scrubbing is the process of checking your medical claims for mistakes that can cause insurance companies to deny your claim.\u00a0<\/span>\u00a0<\/span><\/p>\n

Claim scrubbers check your claims’ Current Procedural Terminology (CPT) codes because even a small error in the applicable five-digit code can result in claim rejection.\u00a0<\/span>\u00a0<\/span><\/p>\n

Third-party medical billing or software businesses include claim scrubbing in their list of medical billing services. A medical software business uses automated rule engines to find any flaws that could result in claim denial. Claim scrubbers check the claims for issues after they have been created.\u00a0<\/span>\u00a0<\/span><\/p>\n

A medical biller or coder manually corrects the claim after finding any mistakes. Claims will probably be accepted if the biller or coder adheres to the claim scrubber’s detailed instructions.\u00a0<\/span>\u00a0<\/span><\/p>\n

Claim scrubbing technology can spot problems more accurately and quickly than people. They help you achieve cleaner claims and a higher first-pass yield.\u00a0\u00a0<\/span>\u00a0<\/span><\/p>\n

The most common errors caught by claim scrubbers are:<\/span>\u00a0<\/span><\/p>\n