What should be verified before submitting claims?

Verifying the accuracy of documentation and codes before submitting claims is essential to ensure that the claims are processed smoothly and efficiently. Accurate documentation provides clear evidence of the services rendered, diagnoses made, and the medical necessity of the procedures. This information needs to align with the codes submitted to insurance companies because discrepancies can lead to claim denials or delays in payment.

Correct coding is critical not only to protect against potential audits but also to ensure compliance with various regulations and standards in the medical billing field. If the codes do not accurately reflect the services provided, it may result in financial loss for the healthcare provider and could also pose legal risks. Hence, thorough verification of documentation and codes is a fundamental step in the claims submission process.

In contrast, checking claimants' social media profiles, the provider's insurance contracts, and claims history of other patients does not directly affect the immediate submission and acceptance of the specific claims being processed. These factors may have their places in broader aspects of healthcare management or compliance but are not essential for verifying individual claims before submission.