« previous next »

Author Question: What is the difference between a prospective and a retrospective audit? What will be an ideal ... (Read 108 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?

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?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

What are examples of ideal forms? What are examples of ideal forms?
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 ...
Difference Between a Sidereal Month and a Synodic Month Difference Between a Sidereal Month and a Synodic Month
What's the Difference Between England, Great Britain, and United Kingdom? What's the Difference Between England, Great Britain, and United Kingdom?
Sheridan Motors is a car dealership that would like to investigate if there is a difference in ... Sheridan Motors is a car dealership that would like to investigate if there is a difference in ...
Video: Bone elongation - processes at the epiphyseal plate

For a complete list of videos, visit our video library