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Question Correcting claims

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Just curious if it is common practice now for coders to correct and resubmit their own claims? At my practice the biller has always done corrections and resubmissions but now they want the coders to correct their own claims, how does your practice handle this? Does anyone know if claim correction is taught in the training courses? Appreciate any input, Thanks!


True Blue
Modesto, CA
Best answers
Many offices are putting new policies into place regarding coding correction. In most cases this is an attempt to streamline the process and avoid the appearance any compliance issues. In other cases it is part of the on-going training process to have the coder correct their work so that they can learn from their mistakes. As noted by the contributor above in some offices they have dual positions where the billers/coders are one and the same.

There is no industry "right way" for an office to handle these situations. From a compliance point of view most auditors will look for a clear process and P&P showing who is responsible and authorized to make coding corrections and that these policies are followed.

If your coders are looking for billing training, there is the CPB certification and class. This may just be an opportunity for internal training to ensure that the coders are clear as to what is needed on a 1505 or UB04 form for the claim to be considered a "corrected claim" and not deny as duplicate.