ABC Insurance has requested a copy of Sally Smith's inpatient record to reconcile the documentation in the record with a claim submitted by Sunny View Hospital for 200.00 of laboratory services and 325.00 of radiology services. Upon review of the record, ABC Insurance has determined that the laboratory report does not contain documentation for a laboratory test billed at 50.00. ABC Insurance Company would deny payment for:
A) all of the charges
B) 50.00
C) 200.00
D) 325.00
Question 2
The primary reason for completing medical records in a fashion consistent with medical staff policies and procedures is to:
A) document risk management activities
B) comply with accreditation requirements
C) generate revenue from third-party payers
D) provide continuity of care to patients
Example of variance documentation
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