ABC Insurance has requested a copy of Sally Smith's inpatient record to reconcile the documentation in the record with a claim submitted by Sunny View Hospital for $200.00 of laboratory services and $325.00 of radiology services. Upon review of the record, ABC Insurance has determined that the laboratory report does not contain documentation for a laboratory test billed at $50.00. ABC Insurance
Company would deny payment for:
A) all of the charges
B) $50.00
C) $200.00
D) $325.00
B
Health Professions
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With very few exceptions, inspection reports and related documents are subject to open records requests under which law?
A) Freedom of Information Act B) HIPAA C) Public Records Retention Schedule D) NFPA 101
Health Professions
Who is usually the last person to review and edit insurance claim information?
A. the insurance billing specialist B. the medical coder C. the physician/provider D. the insurance company
Health Professions