Define clean claims for your practice
A clean claim means different things by payer. Start with a written definition: required fields, modifiers, referrals, and documentation triggers for your top payers.
Clean claim rate should be measured consistently—not swapped between rejection, denial, and first-pass definitions month to month.
Checkpoint map before submission
Align three teams on a single checklist used at different stages—not three conflicting lists.
- Registration: demographics, subscriber ID, coverage status
- Clinical: documentation completeness for billed codes
- Billing: scrub rules, payer edits, and timely filing windows
Improve through small experiments
Run two-week experiments on one denial category at a time. Measure change in preventable themes, not only headline collection rates.
FYNQ supports scrubbing and submission tracking designed to strengthen workflows—not revenue guarantees.