Step 1 of 10
1. Does your billing team verify patient insurance eligibility before the date of service?
2. Do you update your Credentialling/Enrollment in timely manner as per (CAQH/PECOS)?
3. Do you renew your credentialling contracts before the contract limit exceeds?
4. Are claims submitted to the payer within 48 hours of the patient encounter?
5. Do you track and analyze the root cause of your denied claims monthly?
6. Do you handle Prior Authorization requests entirely in-house?
7. Do you handle Authorization requests prior to service?
8. Do you follow up on outstanding claims over 30 days old weekly?
9. What is your average Accounts Receivable (AR) days?
10. Do you perform regular internal audits of coding accuracy (ICD-10, CPT)?
