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Billing & Coding MA 63 Final 2023 What is submitted to the insurance carrier via the internet? - ANSWER-Electronic Claim What distributes claims to the appropriate insurance carrier? - ANSWER-Clearing house or third-party administrator (TPA) What ECS method allows the provider to communicate directly with The insurance carriers? - ANSWER-Carrier-direct What is the process that checks the claim for accuracy and completeness. - ANSWER-Compliance monitoring activities What does t...

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Describe the difference between informed and implied consent. - ANSWERInformed consent is required in writing after explanation of a procedure, with time to ask questions, while implied consent is assumed. What is documentation? - ANSWERDocumentation is the record of clinical observation and care a patient receives at a health care facility. Disclosure refers to the way health information is - ANSWERgiven to an outside person or organization. What is the difference between consent and a...

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E Code - ANS Alphanumeric code used to identify the external cause of an injury or poisoning. Unspecified - ANS Refers to a code that should be used for an incompletely described condition. Addenda - ANS Annual updates to the ICD-9-CM diagnostic coding system. Category - ANS A three-digit code that covers a single disease or related condition. V Code - ANS An alphanumeric code used for an encounter that is not due to illness or injury.

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