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1. Ensuring streamlined, accurate and thorough
clinical documentation.
2. This documentation covers all workflow
stages in a hospital or clinic.
3. From the time the patient reports at the
reception to collection of patient’s dues.

4. Correct selection of codes and related
modifiers based on clinical documents.
5. Ascertaining medical necessity
from the point of view of
insurance agencies.
6. Check whether the patient is
eligible and has appropriate
insurance coverage.
7. Prepare
the
reimbursement
correctly.

insurance
claims

8. Prepare the claims in time
and send to insurance payers.
9. Check the progress of claims
sent to insurance.
10.Analyse rejected claims and
resubmit corrected claims.
11. Closely follow up on every
claim.

12. Collect patients’ payment dues
through patient billing.
http://www.MedicalBillingStar.com

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