Claims & denials · Definition
Claim scrubbing: Definition
Automated pre-submission checking of claims against payer edits, code pairs and required fields.
This is a short definition only. The full explanation lives on the cost of dermatology billing errors, which is the page to read if you are dealing with this on live claims.
Definition
Generic scrubbers catch format and basic NCCI issues.
Dermatology-specific rules — stage sequencing, lesion counts against LCD frequency limits, repair classification against documented size — usually have to be added as custom edits.
For worked examples, payer rules and documentation requirements, read the cost of dermatology billing errors. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.