Matching
Match the following:
Premises:
The term used when a code reports a procedure that is less involved than that documented in the patient chart.
The type of audit conducted by an insurance carrier to make sure a practice is compliant.
The type of audit conducted within a practice to make sure the office is compliant.
The type of audit done before a claim is submitted to the insurance carrier for payment.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) plus all additional body systems.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI).
Software function used by payers to screen for incorrect or improperly reported procedure codes.
The term used when a code reports a procedure that is more involved than that documented in the patient chart.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) and two to nine additional systems.
The type of audit performed after payment is received from an insurance carrier.
Responses:
code edits
retrospective
internal
upcoded
complete review of systems
prospective
extended review of systems
problem-pertinent review of systems
external
downcoded
Correct Answer:
Premises:
Responses:
The term used when a code reports a procedure that is less involved than that documented in the patient chart.
The type of audit conducted by an insurance carrier to make sure a practice is compliant.
The type of audit conducted within a practice to make sure the office is compliant.
The type of audit done before a claim is submitted to the insurance carrier for payment.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) plus all additional body systems.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI).
Software function used by payers to screen for incorrect or improperly reported procedure codes.
The term used when a code reports a procedure that is more involved than that documented in the patient chart.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) and two to nine additional systems.
The type of audit performed after payment is received from an insurance carrier.
Premises:
The term used when a code reports a procedure that is less involved than that documented in the patient chart.
The type of audit conducted by an insurance carrier to make sure a practice is compliant.
The type of audit conducted within a practice to make sure the office is compliant.
The type of audit done before a claim is submitted to the insurance carrier for payment.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) plus all additional body systems.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI).
Software function used by payers to screen for incorrect or improperly reported procedure codes.
The term used when a code reports a procedure that is more involved than that documented in the patient chart.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) and two to nine additional systems.
The type of audit performed after payment is received from an insurance carrier.
Responses:
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