Pre-Claim Attachments: Prelaims Reporting Activities
Pre-claims submission activities are a process that involves tasks such as scheduling and registration, verifying eligibility, getting authorization for services, collecting copayments or coinsurance, documenting charges, coding, grouping, scrubbing and editing claims. Admitting/registration and case management would be involved these tasks.
Claims processing activities is the conversion of verbal descriptions into numbers, submission of supplemental claim attachments. Attachments include Certificates of Medical Necessity, discharge summaries and operative reports. Claims must comply with industry and government standards. Coders would be involved in these tasks.
Accounts receivable for health care providers differ from accounts receivable
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