Johnny's parents both have insurance. His mother's birthday is ...

[ericka1]

Johnny's parents both have insurance. His mother's birthday is March 28th and his father's birthday is February 20th.
 A) Johnny's father's insurance is primary.
  B) Johnny's mother's insurance is primary.
  C) The insurance payor determines which insurance is primary.
  D) Both insurances are treated as primary.

Question 2

What types of audits are there? Describe the goal of each.

[chem1s3]

Answer to Question 1

A

Answer to Question 2

Internal audits -- the company audits claims practices against their policies and procedures to ensure accuracy in billing.
External audits -- the company hires another company to conduct an audit of their claims processing.
Payer audits -- the insurance company does an audit to determine if the coding on claims is accurate and what the error rate is.
OIG -- this is an investigation that may include auditing techniques.

[ericka1]

Thank you

[chem1s3]

No problemo