Match the following
-The type of audit done before a claim is submitted to the insurance carrier for payment.
A) downcoded
B) retrospective
C) internal
D) prospective
E) complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems

Question

Quizplus · Accepted Answer

Prospective audit is done before a claim is submitted to the insurance carrier for payment to ensure that the documentation supports the services billed.

Match the Following -The Type of Audit Done Before a Claim Is Submitted