Case Studies in Health Information Management
3rd Edition
ISBN: 9781305955332
Author: Patricia Schnering, Nanette B. Sayles, Charlotte McCuen
Publisher: Cengage Learning
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A physician asks the medical biller to change the date of service on a Medicare claim because it has passed the timely filing limit and was not previously submitted for payment. Is this fraud or abuse if the claim is then submitted? Why?
"The health care agency owns the data in it's computer system and is therefore free to do whatever it chooses with that data." Is this accurate? What issues does this statement raise?
Which of the following tasks should be completed prior to claim submission?
Coding the visit
Using the UB-20 form
Provider signing the claim
Manually sending the claim
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