Author Question: Medical practices and health care facilities should routinely participate in an auditing process, ... (Read 106 times)

torybrooks · **on:** Jun 27, 2018

Medical practices and health care facilities should routinely participate in an auditing process, which involves reviewing patient records and CMS-1500 or UB-04 claims to __________.
a. assess coding accuracy and completeness of documentation
b. calculate the amount of money that must be sent to the payer
c. determine whether procedures and services were covered
d. follow up on payer reimbursement of the submitted claims

Question 2

Which is a form required by Medicare for all outpatient and physician office procedures/services that are not covered by the Medicare program?
a. advance beneficiary notice
b. assignment of benefits
c. fee-rendered schedule
d. patient waiver form