What is “smart edit” in medical billing?

Smart Edit in Medical Billing

Smart edit refers to an automated system that reviews claims for potential errors before submission, helping to prevent denials.

Smart Edit in Medical Billing Explained

In medical billing, smart edits identify issues such as incorrect coding or missing documentation, allowing providers to correct these errors before submitting the claim to the payer. This reduces the likelihood of claim rejections and delays in payment.

For example, a billing system flags a smart edit for a claim missing the required modifier, allowing the provider to fix the error before submitting.

Explore acronyms and abbreviations in Medical billing glossary.

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