Question

what are some of the effects of not having a claim scrubbed prior to submission ?

Answer 1

· Claim rejections are often the result of human error, and can easily be avoided. Manually checking claims before they're submitted to the insurance payer can be a time-consuming process, and claims re-work due to rejections can be costly. The AMA has identified these as the most common medical coding errors.

Answer 2

Some of the effects of not having a claim scrubbed prior to submission are: Claim rejection, Payment delay, Invalid CPT code

•Claim rejection: A claim that was not scrubbed prior to submission tend to lead to claim rejection as the claim was not audited for errors.

•Payment Delay: A claim that was not scrubbed prior to submission  lead to Delay in paying the  claim as it may takes several weeks before the payment are made and in some cases the claim may be denied in which the person will have to  submit the claim again.

•Invalid CPT code: A claim that was not scrubbed prior to submission  lead to  Invalid CPT code as the person date of claim does match the claim effective date.

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