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Author Question: An internal prospective audit would most likely be performed on: all claims. workers' ... (Read 111 times)

Brittanyd9008

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on: Jun 27, 2018
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?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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matt

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Reply #1 on: Jun 27, 2018
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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Brittanyd9008

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Reply #2 on: Jun 27, 2018
Thank you :)


matt

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Reply #3 on: Jun 27, 2018
Happy to help you


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