Remove blog what-are-some-of-the-effects-of-not-having-a-claim-scrubbed-prior-to-submission
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Uh oh! The Effects of Not Having a Claim Scrubbed Prior to Submission

Etactics

Ask any medical biller what their arch-enemy is and they’ll identify one of the two main types of codes that they work with. Of course, what I’m referring to are ICD codes and CPT codes…but if you’re working within the industry, you already knew that. Front-end revenue cycle processes account for half of all claim denials on average.

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[Answered] What is Claims Adjudication?

Etactics

30% of insurance claims get denied on their first submission. Part of this is because of the complicated nature of the claim adjudication process. There’s nothing simple about the claim submission process. Any medical biller with some experience will agree that there are a lot of steps. What is a claim?

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Denial Management in Healthcare: An Ultimate Guide

Etactics

There were nearly 50 million denied healthcare claims in 2021. Based on the total number of in-network claims submitted, that averaged out to a 17% denial rate. I know what you’re thinking, “That was back in 2021, right after a pandemic. Well, I have some more bad news for you.