« previous next »

Author Question: What questions should a coder ask in checking a claim to make sure it is accurate and ready to ... (Read 65 times)

geoffrey

  • Hero Member
  • *****
  • Posts: 880
on: Jun 27, 2018
What questions should a coder ask in checking a claim to make sure it is accurate and ready to submit?
 
  What will be an ideal response?

Question 2

HCPCS Level II codes are updated annually by the:
 
  Centers for Medicare and Medicaid Services (CMS).
 
  American Dental Association (ADA).
 
  American Medical Association (AMA).
 
  World Health Organization (WHO).
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


medine

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: Is the coded service billable? Are the codes appropriate to the patient's profile? Is there a clear and correct link between each diagnosis and procedure? Is the documentation in the patient's medical record adequate to support the reported services? Do the reported services comply with all regulations?

Answer to Question 2

Answer: Centers for Medicare and Medicaid Services (CMS).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

According to the CDC, approximately 31.7% of the U.S. population has high low-density lipoprotein (LDL) or "bad cholesterol" levels.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

Malaria was not eliminated in the United States until 1951. The term eliminated means that no new cases arise in a country for 3 years.

Did you know?

Fewer than 10% of babies are born on their exact due dates, 50% are born within 1 week of the due date, and 90% are born within 2 weeks of the date.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Preventing Claim Form Rejection Preventing Claim Form Rejection
Use dye specifically made for coolant when checking for leaks using a black light. Use dye specifically made for coolant when checking for leaks using a black light.
Help with this questions urgent Help with this questions urgent
I need help soon some questions attached I need help soon some questions attached
Video: A Human Karyotype Preparation Animation

For a complete list of videos, visit our video library