In Billing

  1. Incorrect data entry
  2. Incorrect insurance address
  3. Billing for Expired/Terminated policy
  4. Incorrect provider
  5. Wrong DOS and place of service
  6. Claims without patient’s DOB , SSN & Insurance ID
  7. Referral not attached
  8. Provider’s Tax ID missing
  9. Supporting documents for specific services missing
  10. Incorrect modifiers

In Coding

  1. Incorrect data entry
  2. Wrong codes assigned
  3. Truncated diagnosis
  4. Unlimited services
  5. Non-LMRP codes for Medicare patients
  6. Codes don’t match with the sex
  7. ICD codes incompatible with CPT codes
  8. Old codes usage (that don’t exist)
  9. Unbundled codes
  10. Incorrect modifier

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