Claim Scrubbing is a process where, prior to billing, your diagnosis and procedure information is transmitted ‘real time’ to a vendor who passes the claim through a series of edits. Any errors are immediately reported in a pop up window on your claims entry screen – allowing staff to correct the claim at that time. Claim Scrubbing can dramatically decrease the percentage of rejected and denied claims.
Things that are checked during the claim scrubbing include:
- Wrong age for procedure
- Wrong age for diagnosis
- Wrong gender for procedure
- Wrong gender for diagnosis
- Invalid diagnosis
- Invalid procedure
- Invalid modifier
- Invalid place of service