« previous next »

Author Question: If the reported services are deemed NOT medically necessary at the level reported, the claim will ... (Read 40 times)

Jipu 123

  • Hero Member
  • *****
  • Posts: 569
on: Jun 27, 2018
If the reported services are deemed NOT medically necessary at the level reported, the claim will be:
 
  denied.
 
  downcoded.
 
  upcoded.
 
  pended.

Question 2

An audit/edit report from a clearinghouse will show all of the following EXCEPT:
 
  claims that need corrections.
 
  claims that are missing information.
 
  claims forwarded to the insurance carrier.
 
  paid claims.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


raenoj

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: downcoded.

Answer to Question 2

Answer: paid claims.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

(Left panel) The transition level (TL) for moving out of the parental home for 240 young men and ... (Left panel) The transition level (TL) for moving out of the parental home for 240 young men and ...
HCPCs Modifiers Used for Medical Office Services HCPCs Modifiers Used for Medical Office Services
Surface Fronts and Upper-Level Patterns: Cold Fronts and the Formation of Upper-Level Troughs Surface Fronts and Upper-Level Patterns: Cold Fronts and the Formation of Upper-Level Troughs
Ecosystem goods and services and monetary values Ecosystem goods and services and monetary values
How much the temperature will rise depends on many factors that affect the level of GHG emission How much the temperature will rise depends on many factors that affect the level of GHG emission
Changes in the Level of Education, 1975-2010 Changes in the Level of Education, 1975-2010
Video: Forming urine ( influencing factors), Forming dilute urine & Forming concentrated urine

For a complete list of videos, visit our video library