Adjudication - Samenvattingen en Aantekeningen

What indicates a claim should be submitted on paper instead of electronically - The claim requires an attachment What steps wold be part of a physicians practice compliance program - Internal monitoring and auditing What is the third stage of the life cycle of a claim - Claims Adjudication What is the advantage of electronic claim submission - Claims are expedited In an outpatient setting what forms are used as a financial report of all services provided to patients - Patient account...

Notes from all 7 lectures of the course international dispute settlement

Drug Utilization Review (DUR) - ANSWER>>(pharmacist's job) reviewing the patient's profile with medication to ensure safety How many hours of CE are technicians required to complete? How often? - ANSWER>>20 hours every 2 years Adjudication - ANSWER>>submitting 3rd party insurance claim for paymen

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ANSWER Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ANSWER 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgica...

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ANSWER Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ANSWER 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgica...