All 50 states currently have a clean claim law. The effectiveness of the legislation varies greatly from South Dakota, without financial penalty to Texas, where the penalty can be up to a claim to the contracting authority to pay fees into account that the legal fees into account. The basic idea of the law is that an entity has to respond to a clean claim within a specified time (usually around 30 days for electronic claims). To clean claim law effectively, you must have a tracking system in your medical billing process that flags:

1. Payers who are in the clean a claim right (not all),
2. If an application is made,
3. If a request for information from the client (if you will hear them on the 30-day clock until you respond),
4. If your office on the request (this starts the 30-day clock again), and
5. If you make a payment or denial.

The design and implementation of the system and reporting can be a challenge, but it can pay huge dividends in terms of the sanctions by entities in the way you observe your payer claims next time. You can actually find, as well as other aggressive users of the clean claim law that calls for managers to some of the contributors to ensure it will process your claims quickly and ask for the submission of complaints.

A quick way to deal with the use of the clean claim law is to a particular client, that you think delays normal statements over 30 days. Find a handful of claims, the last 30 days pass and then test the water with such claims. In this way you can learn the basics of the filing of complaints and the impact of the first symptoms.

Copyright 2006 by Carl Mays II

Carl Mays II, President of Care Medical Claim Billing Services has in the past 15 years to improve the financial standing of his clients. If you need more information about laws and clean claim Texas Medical Billing his other articles.