Once all data are posted to a patients account, the claim can be reviewed for accuracy and completeness. Many facilities

Business, Finance, Economics, Accounting, Operations Management, Computer Science, Electrical Engineering, Mechanical Engineering, Civil Engineering, Chemical Engineering, Algebra, Precalculus, Statistics and Probabilty, Advanced Math, Physics, Chemistry, Biology, Nursing, Psychology, Certifications, Tests, Prep, and more.
Post Reply
answerhappygod
Site Admin
Posts: 899604
Joined: Mon Aug 02, 2021 8:13 am

Once all data are posted to a patients account, the claim can be reviewed for accuracy and completeness. Many facilities

Post by answerhappygod »

Once all data are posted to a patients account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These "internal" auditing systems are called

A. scrubbers.
B. outliers.
C. groupers.
D. encoders.
Join a community of subject matter experts. Register for FREE to view solutions, replies, and use search function. Request answer by replying!

This topic has 1 reply

You must be a registered member and logged in to view the replies in this topic.


Register Login
 
Post Reply