Describe seven common errors that are made when completing the CMS-1500 claim form.

What will be an ideal response?

-Incorrect patient insurance ID number
-Incorrect CPT code and/or failure to use a modifier
-Incorrect ICD-9 code and/or missing fourth or fifth digits
-ICD-9 code does not validate that the service or procedure was medically necessary
-Absence of referring physician name and ID number when required
-Mathematical errors related to charges and total amount due
-Missing place of service and/or type of service codes
-Incorrect, missing, or duplicate dates of service
-Incomplete provider information

Health Professions

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Which of the following is correct for Young's rule?

a. Divide the child's age in years by 12, and then multiply this number by the adult dose to determine the correct pediatric dosage. b. Divide the child's age in years by 12, and then subtract this number by the adult dose to determine the correct pediatric dosage. c. Multiply the child's age in years by 12, and then multiply this number by the adult dose to determine the correct pediatric dosage. d. Divide the child's age in years by the same number plus 12, and then multiply this number by the adult dose to determine the correct pediatric dosage.

Health Professions

Your patient is a 17-year-old female who presents with an altered mental status. Friends report that she suddenly cried out, began twitching, then was unresponsive for several minutes. You suspect this patient experienced a:

A) generalized seizure. B) stroke. C) drug overdose. D) diabetic emergency.

Health Professions