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What is Triple Check? Triple check is an internal audit process to ensure billing accuracy and compliance with regulatory guidelines prior to submission of claims to Medicare and Managed Care payers.
Designed to verify the accuracy and completeness of Medicare claims before submission to CMS, the Triple Check process consists of three levels of review to catch errors in coding, documentation, and billing practices. It can reduce delays in reimbursement and guard against noncompliance risk.
THE TRIPLE CHECK/MEDICATION ADMINISTRATION CROSS CHECK The triple-check strategy has three steps: Check the medication, dose, and route that is planned to be given to a patient. Confirm this medication, dose, and route with the second medic.
Medicare Quality of Care Complaint Form.
The Triple Check process is a comprehensive review system that verifies the accuracy of billing information before claims are submitted to Medicare. The primary purpose is to ensure that all the necessary documentation, coding, and billing details are correct and in compliance with regulatory requirements.
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The CMS-1450 form (aka UB-04 at present) can be used by an institutional provider to bill a Medicare fiscal intermediary (FI) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.
The Triple Check Practice involves three distinct checks performed by different pharmaceuticals team members to ensure accuracy at every step of the medication filling process.

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