Match the following
-The type of audit performed after payment is received from an insurance carrier.
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

Retrospective audit is typically performed after payment is received from an insurance carrier in order to evaluate the accuracy and completeness of the coding and billing process. This type of audit looks back at past claims or encounters to identify any errors or discrepancies, and can be conducted internally or by an external auditor. Options A, E, F, H, I, and J do not accurately describe audits performed after payment is received from an insurance carrier, while option D refers to a type of audit that is performed before services are rendered.

Match the Following -The Type of Audit Performed After Payment Is Received from Is