Author Question: An internal prospective audit would most likely be performed on: all claims. workers' ... (Read 98 times)

Brittanyd9008

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An internal prospective audit would most likely be performed on:
 
  all claims.
 
  workers' compensation claims.
 
  all evaluation and management (E/M) claims.
 
  all Medicare claims.

Question 2

Using the RBRVS system, how does the geographic practice cost index (GPCI) affect provider payments?
 
  What will be an ideal response?


matt

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Answer to Question 1

Answer: workers' compensation claims.

Answer to Question 2

Answer: Twenty-five percent of the physician's work value is adjusted to reflect the differences in practice cost related to the practice's geographical location. Seventy-five percent of the work value is the same across all locations.



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matt

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