Thursday
November 27, 2014

Homework Help: Reimbursement Methodologies

Posted by Jessica on Wednesday, January 5, 2011 at 1:29pm.

You work for a third-party payer performing medical records review. Your job is to match codes that were submitted on the claim to documentation in the medical record. You notice that a code has been input for a colonoscopy precedure, but you don't see the procedure report anywhere in the record. As the third-party payer representative, what will your action be reguarding the code that was submitted on the claim form?

I would go back to whomever input the code and make sure they used the right code. Am i anywhere close to where i need to be?

Answer this Question

First Name:
School Subject:
Answer:

Related Questions

reimbursement methodologies - you work for a third party payer performing ...
medical billing and coding - you work for a third party payer performning ...
health - You’re an HMO director. You would like to ensure that you managed care ...
reimbursement methodologies - you are a third-party payer performing medical ...
coding - you are a third party payer performing medical record review you notice...
Reimbursement Methodologies - You work in the hospital information Management, ...
Health - You work in the hospital's health information management department. ...
medical -health - you woek in the hospital's health information management ...
health medical records - were are administrative documents like the living will ...
reimbursement - Under major medical insurance, $250 must be paid before the ...

Search
Members