5 Tips to Improve your Medical Practice's Billing & Collections

3. Charge validation


Prior to submission, claims should be scrubbed by an industry-specific tool that uses standard and custom edits. The system should automatically detect coding combinations related to un-bundling, modifier appropriateness and mutually exclusive procedures. Medical necessity concerns can be discovered and proper channels exercised to improve or amend documentation.


What are your thoughts on how this process should be completed?