Many Medical Billers and Coders have only been trained in school to look up codes, not understanding the medical side of billing. How many of your billers come to you with questions about something new being billed and what that procedure means from the medical side? A little research can go a long way in collecting every dollar due to you and your practice.

My company wants to provide your medical practice with as many “Clean Claims” billed as possible to reduce the denial rate and raise a red flag to the insurance company. This means that the ICD-10 code billed will be verified as payable for the CPT code being used. In addition, claims will be checked for missing prior authorizations.

Every time a claim is resubmitted, you look at another 45-60 days before you see payment for that claim.