When records are reviewed by third-party payers,if a procedure is not documented,it:
A) will be reimbursed at only 50 percent of the standard rate
B) will be reimbursed at only 10 percent of the standard rate
C) is considered to never have been performed
D) must be resubmitted with a statement of explanation from the provider

Question

Quizplus · Accepted Answer

When third-party payers review records and a procedure is not documented, it is considered to never have been performed. This is because in medical billing and coding, the documentation serves as proof that a service was provided. Without documentation, there is no verifiable evidence to support the claim for reimbursement.

When Records Are Reviewed by Third-Party Payers,if a Procedure Is