Verify Data Completeness Ensure all mandatory fields (patient details, insurance info, diagnosis codes) are filled.
Validate Accuracy Cross-check patient and insurance details against existing records for correctness.
Check Formatting & Standardization Confirm dates (MM/DD/YYYY), name formats (First Last), and numeric values are correctly entered.
Review Medical Codes Validate CPT, ICD-10, and HCPCS codes for accuracy and relevance.
Identify Missing Data Flag incomplete or incorrect entries and request updates.
Ensure Consistency Check that values match across different sections of the form.
Monitor Compliance Ensure data meets HIPAA and other regulatory requirements.
Assign Status (Accept/Update) Approve correct forms or send back for corrections if data is missing.
Report & Document Errors Maintain records of common errors and suggest process improvements.
Collaborate with Teams Work with medical coders, billing teams, and data analysts to resolve discrepancies.
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