• Assignments of diagnosis codes by the physicians and other clinical staff reviewed for the highest level of specificity
• Procedure codes reviewed to ensure appropriateness and documentation support in the medical record
• All documented services, diagnostic tests and treatments coded and billed
• A designated contact at the practice notified of missing and incomplete documentation
• Confirmation of data elements prior to claims submission decreases denial rate and reduces account receivable turnover
• All required information included on the claim with the first submission
• Known requirements of payers that require special attention to their claims requested from the practice
• Payer responses tracked to determine and identify new and unique payer requirements that should be implemented
• Payers not paying for more than one service or test on the same date of service communicated to the practice
• Equal attention in the claims processing work flow devoted to high dollar and low dollar claims
• Matrices of timely filing limits and reimbursement contracts for third party payers