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hey everybody its me dr. Sam Kelly coming back to you again with another topic for billing coding and practice management so what do you think were going to be talking about today yep you guess a clean a claim submission in the perfect world thats what we want to strive for we want to be able to submit that claim correctly so that were paid within three weeks but is that reality no mistakes happen well have demographic errors maybe somebody forgot to update the CPTs or icd-10 codes in the system maybe the providers are choosing something wrong maybe the modifiers are wrong but there are times where things will happen on our side that will land our claim into the boom-boom-boom denial of it thats what I like to call it I like to liken it to the island of misfit toys you know that Island thats on that how would they show thats like one of my favorites Rudolph the red-nosed reindeer thats it so we have to do things we have to put a plant and processes in place to ensure that we