Billing & ClaimsCâu 62 / 100
On the CMS-1500 claim, diagnosis codes are linked to each service line by:
a.Listing the codes in random order
b.Writing them in the remittance advice
c.Using diagnosis pointers that connect each procedure to the diagnosis that justifies it
d.Placing them only on the UB-04
Giải thích
The CMS-1500 uses diagnosis pointers to associate each billed procedure line with the specific diagnosis that supports its medical necessity. Proper linkage demonstrates why each service was needed and helps prevent medical-necessity denials. Mispointed or missing links are a common cause of claim rejections.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- 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:
- A superbill (encounter form) is used to:
- Which of the following would most likely cause a claim to be rejected at the clearinghouse before reaching the payer?
- A clearinghouse in the billing workflow functions to:
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