Match the Following -Software Function Used by Payers to Screen for Incorrect or for Incorrect

question 101

Multiple Choice

Match the following
-Software function used by payers to screen for incorrect or improperly reported procedure codes.

• 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

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Definitions:

Insurance Expense

The cost incurred from purchasing insurance policies, recognized over the period to which the insurance coverage relates.

Income Statement

A financial statement that reports a company's financial performance over a specific accounting period, detailing revenues, expenses, and net income.

Incurred

Refers to a cost that has been realized or a liability that has been acquired during a specific period.

Statement of Cash Flows

An overview of a company's cash transactions, detailing money coming in from operational efforts and investment activities, and money going out to cover the costs associated with these activities during a specific period.