Which indicator points to employee embezzlement? a. Payee name ...

[CORALGRILL2014]

Which indicator points to employee embezzlement?
 
  a. Payee name and address matches claim form, bills, or other pertinent material.
  b. Excessive accessorizing.
  c. Undocumented claim file actions are found, such as voids, reversals, or reissued payments by employee.
  d. Provider bills and claim forms match explanation of benefits.

Question 2

resection of right lower femur, open approach
 
  Select the correct PCS codes:
  A) 0QT50ZZ
  B) 0QTB0ZZ
  C) 0RT50ZZ
  D) 0RTE0ZZ

[wtf444]

Answer to Question 1

C

Answer to Question 2

Answer: B