How to Achieve a Clean Claims Rate of Over 90% in Medical Billing

Keep Patient Information Updated

Regularly update patient records to ensure accuracy. This helps prevent claims rejections and ensures smooth processing.

Verify Eligibility and Benefits

Always confirm patient eligibility and benefit details before services are rendered. This step minimizes unexpected denials and payment delays.

Code to Highest Specificity

Utilize the most specific codes available. Accurate coding increases the likelihood of claims being accepted on the first submission.

Track Denials and Educate Staff

Implement a denial management review process to track and analyze denials. Regular staff training on billing updates and best practices enhances overall claim success.

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