3 Ways Automation Aids Timely Filing for Medicare/Medicaid ...
Processing Medicare or Medicaid claims can be a hassle. Not only do they tend to include more attachments, but they also require ...
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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.
