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Dr. Sam Kelly discusses the importance of clean claim submissions in billing, coding, and practice management. He emphasizes the goal of submitting claims correctly to ensure payment within three weeks. However, he acknowledges that mistakes, such as demographic errors or incorrect CPT and ICD-10 codes, can occur, leading to claim denials. Kelly compares denied claims to the "Island of Misfit Toys" from Rudolph the Red-Nosed Reindeer, highlighting the need for effective processes to minimize errors and improve claim success. He advocates for implementing strategies to enhance the accuracy of claim submissions.