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Last Year, a Practice's Returned Claims Were 5% of Total

question 11

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Last year, a practice's returned claims were 5% of total submissions (400,000 claims) . The accuracy standards require 97.0% accuracy and you hope to see this standard applied enterprise wide for all coding. How many returned claims will be allowed?


Definitions:

Production Blocking

Reduction in individual creativity and productivity in brainstorming groups due to interruptions and turn-taking.

Social Loafing

The phenomenon where individuals exert less effort to achieve a goal when they work in a group compared to when they work alone.

Evaluation Apprehension

Evaluation apprehension is the anxiety or concern individuals may feel when they believe they are being judged or evaluated by others, affecting performance and behavior.

Production Blocking

A phenomenon in group brainstorming where the flow of ideas is inhibited because only one participant can speak at a time.

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