Answer the following statements true (T) or false (F)
1. Physicians essentially have 6 months to file a second-level appeal.
2. An appeal letter is more effective when the medical office specialist includes information about the federal and state laws that affect the claim submission.
3. To strengthen an appeal, court rulings can and should be used in appeal letters.
4. Many medical associations now have a complaint review process and will assist you with resolving denied insurance claims.
5. A negative adjustment to a patient account will decrease the balance owed.
1. TRUE
2. TRUE
3. TRUE
4. TRUE
5. FALSE
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If all the tests in an organ or disease oriented panel are not done, the coder must unbundle the panel and only list codes for the procedures performed and documented
Indicate whether the statement is true or false
You are documenting pertinent medical history of a man with cerebral palsy who is complaining of difficulty breathing. You write this in your narrative, "Responded to a 26-year-old man with CP who has difficulty breathing." Is anything wrong with this statement?
A) No, it is well known that CP stands for cerebral palsy. B) Yes, it should have read SOB instead of difficulty breathing. C) Yes, CP can stand for several other complaints including chest pain. D) No, the patient probably has chest pain with his difficulty breathing.