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

question 27

Multiple Choice

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

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Definitions:

Minerals

Naturally occurring inorganic substances that have a definite chemical composition and physical properties, essential to various bodily functions when consumed through the diet.

Inorganic Substances

Chemical compounds not containing carbon-hydrogen bonds, typically originating from minerals.

Willow Bark

The bark of certain willow tree species that contains salicin, a substance with pain-relieving and anti-inflammatory properties.

Echinacea

A genus of herbaceous plants, some species of which are used in herbal medicine, primarily for immune system support.