What are Smart Data Solutions and Smart Data Stream’s quality control measures?

Posted by Smart Data Solutions on January 13th, 2020

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Smart Data Solutions

Smart Data Stream’s quality control edits fall into the following three categories:

Data Integrity Edits: Used to “tease out” data entry errors. For example, if the billing “from date” is after the “to date” the claim is subject to a second review.
Transformation Edits: This includes items such as name parsing and conversion from minutes to units for anesthesiology claims.
EDI Compliance Edits: This includes enforcement of EDI rules. For example, on a UB an occurrence code must be accompanied by an occurrence date.

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