tci General Surgery Coding Alert - 2004 Issue 4

You Be The Expert: What Makes a Clean Claim?

Question: We are having problems in our general surgery practice with the number of claims we have had to appeal lately. More often than not, the reason for the denial is our office's insufficient initial reporting. What are the most important things to remember for filing clean claims?California SubscriberAnswer: Send clean claims the first time by using this checklist to guide your office. Check it before sending every claim to ensure accuracy:  Make sure the policy number and ID number are accurate.  Obtain insurance eligibility verification.  Verify other patient information (proper name, birth date, address...

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