« previous next »

Author Question: What is the difference between a prospective and a retrospective audit? What will be an ideal ... (Read 117 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?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

There are 60,000 miles of blood vessels in every adult human.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

The difference between mieosis and mitoses The difference between mieosis and mitoses
How to Factor a Difference of Squares How to Factor a Difference of Squares
There Is a Difference between Natural and Added Sugars There Is a Difference between Natural and Added Sugars
E9-23 Prepare income statements Explain the difference in operating income E9-23 Prepare income statements Explain the difference in operating income
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?
For the circuit in Figure 1, assume ideal diodes. The peak inverse voltage is approximately For the circuit in Figure 1, assume ideal diodes. The peak inverse voltage is approximately
Video: New DNA Strand Replication

For a complete list of videos, visit our video library