Explain the functions of claim-scrubbing software

What will be an ideal response?


Answer: Claim scrubbers review patient demographic data and codes for errors. They check for appropriate code linkage and review the codes and modifiers to ensure that they comply with specific medical necessity and payment guidelines.

Health Professions

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All of the following are considered benign (noncancerous) neoplasms EXCEPT __________

a. nevus b. lipoma c. leukoplakia d. malignant melanoma

Health Professions

An effect of massage related to mental health that is confirmed in a meta-analysis of massage research is that massage can reduce:

A) The incidence of bipolar disorder B) Depression and state anxiety C) Heart disease D) Brain cancer

Health Professions

What is ventricular fibrillation?

a. Blood from the atria cannot be pumped into the ventricles because of a valve blockage. b. The left ventricle cannot pump blood to the body because of a blockage in the aorta. c. Individual muscle fibers of the heart beat independently, which results in a loss of blood circulation. d. The heart beats too fast, which causes damage to the ventricles of the heart.

Health Professions

Participating providers can demand payment in full from the patient rather than waiting for the insurance carrier to process the claim

Indicate whether this statement is true or false.

Health Professions