Billing & ClaimsPregunta 55 de 100
Which item is generally required for a clean professional claim?
a.The provider's personal bank account number
b.The patient's employer performance review
c.Valid diagnosis and procedure codes with supporting patient and insurance information
d.A photograph of the patient
Explicación
A clean claim requires accurate patient demographics, insurance information, provider identifiers, and valid diagnosis and procedure codes that support medical necessity. Missing or mismatched data is a leading cause of rejections. Verifying these elements before submission maximizes first-pass acceptance.
Practica las 100 preguntas gratis — sin registro.
Preguntas relacionadas de este tema
- Prior authorization (precertification) is:
- Verifying a patient's insurance eligibility before the visit helps to:
- The 'place of service' code on a professional claim indicates:
- An appeal of a denied claim is:
- The term 'assignment of benefits' means that the patient:
- When Medicare is the secondary payer (MSP), it means that:
Última revisión: · proceso editorial
Equipo Editorial de PrepPass · Verificado con NHA Certified Billing & Coding Specialist (CBCS) Exam · Cómo revisamos