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Q: A biller had contacted me saying that: I cant seem to get my first claim transmitted without some type of denial coming back. I am checking the CPT and ICD-10-CM codes and it all links together. What is going on? A: The first thing is, there is an initial step that medical billers must take before they review the coding for a claim submission. Unfortunately, its the reality of the billing world where they have to focus on the competency of the practices front desk, and you need to monitor the denial trends because a lot of them point to the front desk. Billers dont have time to appeal every denied claim, which can take anywhere from 5 minutes to over 2 hours. If you happen to work for a practice where the front desk is horrendous and they havent made any changes, then what I say is that every medical billers first step should be to review the registrations prior to reviewing the coding or anything else. That would be the first step in the process. Over 56% of claims denied