Billing & ClaimsQuestion 35 of 100
A 'clean claim' is best defined as a claim that:
a.Contains all required, accurate information and can be processed without additional data from the provider
b.Has been denied and resubmitted at least once
c.Is submitted on paper rather than electronically
d.Includes only the diagnosis codes without procedure codes
Explanation
A clean claim has no defects, errors, or missing information and does not require the payer to seek additional documentation to adjudicate it. Clean claims are paid faster and are central to healthy cash flow. Scrubbing claims before submission increases the clean-claim rate.
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Related questions on this topic
- The CMS-1500 claim form is used primarily to bill for:
- The UB-04 (CMS-1450) claim form is used to bill for:
- Claim 'scrubbing' refers to the process of:
- A remittance advice (RA) or explanation of benefits (EOB) is a document that:
- When a claim is denied, the first appropriate step for a billing specialist is usually to:
- The difference between a claim rejection and a claim denial is that a rejection:
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