Medical Practices and Health Care Facilities Should Routinely Participate in an Auditing

Multiple Choice

Medical practices and health care facilities should routinely participate in an auditing process, which involves reviewing patient records and CMS-1500 or UB-04 claims to __________.

A) assess coding accuracy and completeness of documentation
B) calculate the amount of money that must be sent to the payer
C) determine whether procedures and services were covered
D) follow up on payer reimbursement of the submitted claims