Ace the Codes: Master the 2025 Medical Coding Practice Test with Flair!

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Why is verifying patient insurance information critical before coding?

To expedite coding process

To avoid detection of fraud

To ensure proper billing and avoid denials

Verifying patient insurance information is critical before coding primarily to ensure proper billing and avoid denials. When the correct insurance details are confirmed, it helps in identifying the specific coverage details, copays, deductibles, and any requirements that the insurance provider may have, such as pre-authorizations for certain procedures. This thorough understanding significantly reduces the risk of billing errors that could lead to claim denials.

Inaccurate or incomplete insurance information could cause claims to be rejected, leading to delays in payment and potentially impacting the financial stability of the healthcare provider. Additionally, verifying insurance ensures that the services billed align with what is covered under the patient's plan, which is essential for compliance and effective revenue cycle management. Ultimately, accurate coding based on verified insurance information fosters successful claims processing and enhances patient satisfaction as they are not billed for services unexpectedly.

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To keep patient information confidential

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