Question

Write a 175- to 265-word response to the following: • How do clean claims impact health care organizations? What are the risks to the billing process if claims are not clean? Provide examples.

Answer 1

clean claims means the claims which are given should be error free and should not corrected or edited by manual intervention.

That is proper complete document without any bending or mistake which is eligible for claiming the insurance without any delay can process these documents,

These clean claims indicate the quality performance of the billing department and financial department.mainly it defines the quality of the work of the organization in the billing and insurance process.As a hospital its responsibility to provide full comfortable in works of all departments of the hospital.Many hospitals provide quality care in treatment but it fails to provide quality service in these departments.As an impact it breaks the society trust from the hospital thus reduce the client rate to the hospital then the financial status of the organization gets affected.Many accreditation are given for hospitals for the quality service they provided.The accreditation team will inspect the work of all departments.It not only concerns for the treatment provided in the hospital.Hence it may cause removal or denial of accreditation to the organization if they failed to provide the clean claim.

Clean claims are incorrect or incomplete billing process.If the claims are not clean, the claims cannot be gained or else it gets delayed.