« previous next »

Author Question: What is the difference between a prospective and a retrospective audit? What will be an ideal ... (Read 87 times)

rayancarla1

  • Hero Member
  • *****
  • Posts: 571
on: Jun 27, 2018
What is the difference between a prospective and a retrospective audit?
 
  What will be an ideal response?

Question 2

When documentation does NOT support the level of service provided, and a lower-level code should have been selected, this practice is known as__________ .
 
  Fill in the blank with correct word.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


Jossy

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: A prospective audit is done before a claim is submitted; a retrospective audit is completed after reimbursement is received.

Answer to Question 2

upcoding


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

The difference between a human and an ape. The difference between a human and an ape.
The Number of Children Americans Think Are Ideal The Number of Children Americans Think Are Ideal
A typical open-end wrench. Note the size difference on each end and that the head is angled 15 ... A typical open-end wrench. Note the size difference on each end and that the head is angled 15 ...
The slight (5 microsecond) difference in the firing of the companion cylinders is enough time to ... The slight (5 microsecond) difference in the firing of the companion cylinders is enough time to ...
A difference in oxygen content between the atmosphere and the exhaust gases enables an O2S to ... A difference in oxygen content between the atmosphere and the exhaust gases enables an O2S to ...
If CP for an ideal gas is 35.4 J/molK, which of the following is CV for this gas? If CP for an ideal gas is 35.4 J/molK, which of the following is CV for this gas?
Video: Structure of a Ribosome

For a complete list of videos, visit our video library