What will a payer do when a claim is submitted with a diagnosis code that is not valid for the date of service?
A. Payers may deny a claim when outdated codes are used.
B. Payers will typically pay and submit the claim to the provider with the correct procedure codes.
C. Payers are not permitted to deny a claim when outdated procedure codes are used.
D. Payers will not respond to the claim.
Answer: A
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In coding late (residual) effects, the coder should:
A. code only the cause of the late effect. B. code only the late effect. C. code first the cause followed by the code for the late effect. D. code first the late effect followed by the code for its cause.
In a spring-loaded bellows volume-delivery device, the amount of pressure is determined by the:
a. location of the bellows. b. volume setting on the ventilator. c. tightness of the spring. d. electrical power provided to the spring.