Receiving timely collections is the ultimate result of a healthy revenue cycle and maybe the most difficult part of your practice’s billing operation. Having your medical billing claims scrubbed, reviewed, and processed in a timely manner results in a shorter claim cycle and therefore, timely reimbursement of your claims. To ensure you have clean claims, there are several things that you need to do:

• Patient Information – make sure all of your demographic information – name, address, and insurance policy data are completed and correct
• Eligibility – verify copays, deductible, and patient insurance policy effective dates before the patient’s appointment
• Authorizations – make sure that you have received any prior authorizations necessary before a patient is seen
• Medical Coding – ensure that you have applied the correct CPT/IDC code and modifiers
• Medical Documentation – ensure that the documentation for services is clear and concise and supports applied medical codes and modifiers.