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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > December, 2003 Vol. IV, No. 12

Coding & Billing

Making the Case for Clearinghousees

Judie English

Judie English Q Could you explain what a clearinghouse does?

A When your facility submits a claim electronically, you can choose to deal directly with the insurance company or submit the claim to a clearinghouse that then submits the claim to the insurance company. Simply put, a clearinghouse serves as the middleman in electronic-claims submission between your facility and various insurance companies.

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