Navigating medical billing can feel like a maze, but clean claims are your golden ticket to faster payments and healthier cash flow. As a billing specialist with 12+ years in healthcare RCM, I’ve seen practices transform by mastering clean claims. Here’s how you can too.
A clean claim is error-free, submitted with accurate patient data, valid codes, and proper documentation, ensuring swift payer approval. Per CMS guidelines, it must avoid discrepancies. A clean claim sails through payer systems without rejections. As defined by CMS, it must include:
Our goal is to streamline your healthcare revenue cycle management, give you the financial freedom your practice deserves, and take control with a partner specializing in provider RCM optimization and services excellence.
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A dental practice increased its clean claim ratio from 82% to 96% in 6 months by scrubbing claims and training front-desk staff on data entry. Revenue rose by $120K annually.
Struggling with denials? CuresMB RCM experts helped 200+ practices boost clean claim rates by 25% YOY. After EHR incorporation into payer negotiations, we handle the heavy exciting. Ready to slash denials? Book a free billing audit and uncover your revenue leaks today!
A clean claim is an error-free submission with accurate patient data, valid codes, and proper documentation, ensuring swift payer approval.
The standard is 95% or higher. Falling below delays payments and increases rework costs.
8–12 days on average, but automation can reduce this to 3–5 days.
Yes! A 3-provider clinic hit 97% using cloud-based tools like Kareo.
They catch 90%, but manual audits are still needed for nuanced issues like medical necessity.
Create a “denial playbook” with root causes (e.g., untimely filing) and assign staff to resolve them.
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We are a team of national medical billing service experts based in Astoria, NY, committed to providing ongoing value to our customers. We leverage technology and implement best practices to provide high-quality and cost-efficient medical billing solutions from domestic locations, enabling customers to achieve their business goals. Cures Medical Billing is the best option for any medical billing needs.
Medical billing around Astoria, NY, and beyond is our core competency and our specialists will efficiently manage all your billing needs. Our medical billing specialists have over 12 Plus years of experience with all security technologies to ensure data integrity for our customers. Using our medical billing service, anyone can make their medical billing task less resource-consuming.
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