Which term is used to describe the process of reviewing claims for accuracy prior to submission?

Prepare for the NHA Billing and Coding Specialist exam. Study effectively with flashcards and multiple-choice questions offering explanations and hints. Ensure you're ready for success!

The term "Claim Scrubbing" specifically refers to the process of reviewing claims for accuracy before they are submitted to insurance companies or payers. This crucial step involves checking the claims for errors, omissions, or inconsistencies that could lead to denials or delays in payment. The scrubbing process ensures that all required information is present and correctly formatted, which ultimately increases the likelihood of a claim being approved on the first submission.

Claim scrubbing is typically performed using software that highlights potential issues or discrepancies in the claims data. This not only helps in preventing revenue loss but also enhances the efficiency of billing practices, as it minimizes the number of claims that need to be reworked or resubmitted.

In contrast, other terms mentioned do not focus on the review process prior to submission. Claim batching refers to grouping multiple claims together for submission, claim processing encompasses all steps involved in managing a claim after it is submitted, and claim denial pertains to the situations where claims are rejected by payers due to various reasons. Thus, "Claim Scrubbing" is the correct choice as it pinpoints the proactive review stage that ensures claims are accurate prior to their submission.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy