Match the Reason That the Insurance Claim Was Rejected with the Possible

question 20

Multiple Choice

Match the reason that the insurance claim was rejected with the possible solution to the problem.

-The patient's insurance number is incorrect.

• A)Proofread numbers carefully from source documents.
• B)Check for Sr., Jr., correct birth date, and verify the insured.
• C)Refer to an updated diagnostic codebook and review the patient record.
• D)Verify with the patient's medical record that all dates of service are listed and accurate.
• E)Verify that the place of service is correct for the submitted procedure code(s) and fill in correct service code.
• F)Refer to the current procedure codebooks and verify the coding system used by the insurance company.
• G)Verify and submit valid modifiers with the correct procedure codes for which they are valid.
• H)Total all charges on each claim, recheck the math, and verify amounts with the patient account.
• I)Obtain data from patient during the first office visit on which company is the primary insurer.
• J)Submit all attachments with patient's name and insurance identification number.

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Definitions:

Worldwide Interconnectedness

The state of being connected with each other through communication, technology, trade, etc., across the globe.

Infectious Diseases

Disorders caused by organisms such as bacteria, viruses, fungi, or parasites, that can be spread directly or indirectly from one person to another.

Cultural Anthropology

A branch of anthropology focused on the study of cultural variations among humans and the social and cultural dimensions of human life.

Formal Agreement

A legally binding contract or arrangement between two or more parties, often documented and signed to ensure compliance with its terms.