HCR 220 Week 8 - DQ 2 - 7701

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3number
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  • Posted on: Thu 12 Apr, 2012
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Request Description

If there is any missing or incomplete information in a file, it will cause delays in the time it takes to process the claim. Should the claim end up in court because of a dispute or issue with the claim, it will be much easier to resolve if all the information is complete and accurate.

In order to ensure that all information is complete and accurate on the claim, it would be important to make sure the information regarding the payer is complete, all the procedure codes are valid, the name of the facility is listed, address, zip code, and state abbreviations are correct, and the information on the insurance is listed correctly. If any of this information is not listed correctly, it must be researched and the correct information must be noted on the claim.

A coder’s job is an important aspect of claims processing. For example: Say a medical coder has an appointment and is needing to take off a half a day, he or she must still make sure that his or her work is complete and accurate before submitting the claim. If he or she absolutely must leave before having the time to look over the claim for errors and such, he or she may wait until the next morning to look over the claim one last time. Either way, it is of the utmost importance that the claim be proofread for errors; submitting an error free accurate claim will ultimately save both time and money.


Solution Description

If there is any missing or incomplete information in a file, it will cause delays in the time it takes to process the claim. Should the claim end up in court because of a dispute or issue with the claim, it will be much easier to resolve if all the information is complete and accurate.