Once All Data Are Posted to a Patient's Account, the Claim

question 232

Multiple Choice

Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These "internal" auditing systems are called

• A) scrubbers.
• B) outliers.
• C) groupers.
• D) encoders.

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Definitions:

Gender Constancy

The understanding that one’s gender is fixed and permanent, regardless of superficial changes in appearance or behavior.

Gender Schema

A cognitive framework that organizes information related to gender into categories, influencing how individuals perceive and interact with others.

Gender Difference

Variations in characteristics, behaviors, physical development, roles, and psychological attributes traditionally associated with being male or female.

Gender-Consistent Behavior

Actions or behaviors that conform to societal or cultural norms and expectations associated with a person’s gender identity.