You have recently been hired as the manager of a billing and coding department for a private practice
You have recently been hired as the manager of a billing and coding department for a private practice. Your team is experienced and generally performs at an acceptable level, however, there are occasionally times when productivity decreases, and errors in claim processing occur. To define the standards expected of your team, you must create a written policy.
Content and format of Claim Processing Standards policy
Define the scope of the policy (whom it applies to, why it is necessary).
List elements in the claim life cycle process (visual illustration or image may also be used)
For each element in the claim life cycle: define a standard of quality
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