« previous next »

Author Question: An appeal must be made in writing if: a billing error was made by the medical office assistant. ... (Read 35 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?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

The fruits of DNA technology, made possible by bacterial genetics The fruits of DNA technology, made possible by bacterial genetics
Medical assistants perform many functions in a physician's office or a clinic. Medical assistants perform many functions in a physician's office or a clinic.
Good computer skills are now required to be a successful member of an office staff. Good computer skills are now required to be a successful member of an office staff.
The medical assistant as receptionist in a medical office. The medical assistant as receptionist in a medical office.
A healthy diet is made up of well-balanced nutrients. A healthy diet is made up of well-balanced nutrients.
Alphabetical writing kindergarten Alphabetical writing kindergarten
Video: Blood Flow Through the Kidneys

For a complete list of videos, visit our video library