Whenever a carrier ends up denying a claim, this is something that ends up accumulating in your accounts. This means that the claims have to be revisited, all denials have to be identified, the appropriate action has to be taken, and the claim cycle itself ends up starting all over again. This makes it extremely important to ensure that the maximum number of claims are paid at the very first submission.

Here are three ways in which you can achieve a 95% clean claims submission ratio.

Always take the time to undertake quality checks prior to submitting your claims. Be sure to verify such information as demographics, coding, and all submission errors prior to submitting anything.

Always make sure that the claims you submit have all of the correct and updated patient information on them. This means that there should always be the correct patient demographic information, medical information, and policy information.

At least two days before the actual date of service, make sure that you verify all patient eligibility. This should include primary, secondary, and tertiary insurances, in-network/out-of-network benefits entitlement, policy effective dates, deductibles, copays, and services or procedure coverage.

Thank you for visiting the Quick Claimers Inc. blog, dermatology billing company. If you need a new billing service contact Quick Claimers to get the billing service your practice deserves.