Answer the following statements true (T) or false (F)
1) An audit done within a medical practice to make sure it is compliant is an external audit.
2) A prospective audit would typically be done on claims that require an attachment or more information.
3) A retrospective audit is conducted before sending claims to an insurance company.
4) If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.
5) All third-party payers follow the same rules and policies for submitting a clean claim.
1. FALSE
2. TRUE
3. FALSE
4. TRUE
5. FALSE
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