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Author Question: What questions should a coder ask in checking a claim to make sure it is accurate and ready to ... (Read 70 times)

geoffrey

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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
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medine

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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).


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