A coder's first step in the reimbursement process is:
A) registering the patient.
B) reading and understanding the physician's documentation.
C) filling out a claim form.
D) calling the insurance carrier.

Question

Quizplus · Accepted Answer

Before a coder can begin the reimbursement process, they must first read and understand the physician's documentation to ensure that the proper codes are assigned for billing purposes. This step is critical in ensuring that claims are submitted accurately and in compliance with coding guidelines. Registering the patient and filling out a claim form are important steps in the reimbursement process, but they cannot be done effectively without first understanding the medical documentation. Calling the insurance carrier may be necessary at some point in the process, but it is not the initial step.

A Coder's First Step in the Reimbursement Process Is