« previous next »

Author Question: An appeal must be made in writing if: a billing error was made by the medical office assistant. ... (Read 88 times)

ssal

  • Hero Member
  • *****
  • Posts: 572
on: Jun 27, 2018
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?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


Dunkey

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 27, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

If you could remove all of your skin, it would weigh up to 5 pounds.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

A subculture of employees who work at a medical practice A subculture of employees who work at a medical practice
Chair made from tree Chair made from tree
Qualifications of Certified Medical Administrative Specialist Qualifications of Certified Medical Administrative Specialist
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
The diagonal of the floor of a rectangular office cubicle is 2 ft longer than the ... The diagonal of the floor of a rectangular office cubicle is 2 ft longer than the ...
No payments were made on a $2,598 loan during its three-year term. What was the annually ... No payments were made on a $2,598 loan during its three-year term. What was the annually ...
Video: Component of feedback systems & Communication and regulation of body systems

For a complete list of videos, visit our video library