An appeal must be made in writing if: a billing error was made ...

[ssal]

An appeal must be made in writing if:
 
  a billing error was made by the medical office assistant.
 
  the carrier requested information from the patient that was not received.
 
  the patient had a routine service covered by the policy.
 
  the claim was for services related to an accident.

Question 2

Explain the functions of claim-scrubbing software.
 
  What will be an ideal response?

[Dunkey]

Answer to Question 1

Answer: a billing error was made by the medical office assistant.

Answer to Question 2

Answer: Claim scrubbers review patient demographic data and codes for errors. They check for appropriate code linkage and review the codes and modifiers to ensure that they comply with specific medical necessity and payment guidelines.