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Errors on an insurance claim can cause a domino effect in a medical office. You must go through several steps to correct a claim. If
Errors on an insurance claim can cause a domino effect in a medical office. You must go through several steps to correct a claim. If it is a coding error, then the claim can be resubmitted once it goes through a quality check (rejected) before the claim is submitted. If you submit a claim and it is denied, then you will have to through the correct steps to get the claim corrected and resubmitted correctly. There are several pathways in the adjudication process when claims are denied or rejected. If the insurance number and the name don't match the system can flag it before submitting it. The newer medical EMR software has a points and check system to be sure the diagnosis matches the correct codes before submitting a claim. On the website one solution is outsourcing for coder to get a more professional outcome to increase patient care and the billing process runs smoothly. It is so important to practice accuracy to best of your knowledge and ability
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