Medical claims are generated by senior billing associates , based on the state carrier policies and billing guidelines . Once the charges are created , keyed in with appropriate Procedure , diagnosis , modifiers , specific payment modifiers ( if applicable ).
Multiple Quality checks are performed before the charges are transmitted to carriers . some of our main checks includes appropriate patient name , history verification ( Established Vs New patient code usage ) , appropriate pointers were picked for ICD-9-CM codes with concurrent CPT codes , appropriate insurance picked being screened.
EDI clearance are performed by our senior associates, who is deligent is identifying, fixing and eradicating the cause in future claims!
Our aim is to0 submit 100% clean claim , make sure proper submission.