« previous next »

Author Question: What is meant by verifying medical necessity when reviewing a claim? What will be an ideal ... (Read 68 times)

jace

  • Hero Member
  • *****
  • Posts: 541
on: Jun 27, 2018
What is meant by verifying medical necessity when reviewing a claim?
 
  What will be an ideal response?

Question 2

What are some of the advantages of optical character recognition (OCR) in the processing of paper claims?
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


pallen55

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: The diagnosis and procedures are reviewed to be sure that the treatment was appropriate for the diagnosis.

Answer to Question 2

Answer: Scanners read at such a fast speed that they reduce the cost of data entry and decrease the processing time for claims.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

A medical lab technician. A medical lab technician.
Black and white patients enrolled in Medicare do not receive the same medical treatment, even when ... Black and white patients enrolled in Medicare do not receive the same medical treatment, even when ...
Comparison of Paper Medical Records and Electronic Health Records Comparison of Paper Medical Records and Electronic Health Records
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
HCPCs Modifiers Used for Medical Office Services HCPCs Modifiers Used for Medical Office Services
Carbon-11 is used in medical imaging. The half-life of this radioisotope is 20.4 min. What ... Carbon-11 is used in medical imaging. The half-life of this radioisotope is 20.4 min. What ...
Video: Hormonal regulation of pregnancy - weeks 17 through 38

For a complete list of videos, visit our video library