Answer the following statements true (T) or false (F)
1) An audit done within a medical practice to make sure it is compliant is an external audit.
2) A prospective audit would typically be done on claims that require an attachment or more information.
3) A retrospective audit is conducted before sending claims to an insurance company.
4) If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.
5) All third-party payers follow the same rules and policies for submitting a clean claim.
1. FALSE
2. TRUE
3. FALSE
4. TRUE
5. FALSE
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The person acting as a PIO does not need formal training because just trying to assist the media will be seen as a positive action and the media will not pressure the person
a. True b. False
Describe the conditions under which a nursing home would be reimbursed by Medicare.
What will be an ideal response?
The nitrite test on the reagent test strip is based on which of the following?
A) Legal's test B) Ehrlich's reaction C) Greiss reaction D) Dichloraniline test