A(n) ________audit is frequently done by a third party if fraudulent billing is suspected.

Fill in the blank(s) with the appropriate word(s).


external

Government entities, managed care organizations, and private insurance carriers perform external audits to seek to recover possible overpayments.

Health Professions

You might also like to view...

What do researchers take into account when selecting a data collection method?

What will be an ideal response?

Health Professions

HIPAA requires that diagnoses and services be reported in a standard, consistent manner; this is accomplished by using uniform:

A) claim forms. B) code sets. C) descriptors. D) modifiers.

Health Professions

Why are patients encouraged to seek outpatient care rather than inpatient care?

A. Outpatient care is much less expensive than hospitalization. B. Patients prefer to be in the hospital where they feel more secure. C. Outpatient facilities employ more highly qualified doctors and nurses than inpatient facilities. D. All of the above E. None of the above

Health Professions

Which of the following suture sizes is the largest?

1-0 2-0 3-0 4-0

Health Professions