Medically unlikely edits are edits that:

There are four levels of appeal for Medicare claims processing.

The five most important federal fraud and abuse laws that apply to physicians are the Anti-Kickback Statue, the Physician Self-Referral Law, the Exclusion Authorities, the Civil Monetary Penalties Law, and __________________?

What is the Office of Inspector General (OIG) responsible for?

Medical records should be organized in a consistent manner, using chronological order and separating out records that do not belong to the patient of record.

The false claims act protects the government from being overcharged or being billed for poor services.

Define Fraud and Abuse. Give me an example of fraud and abuse in health care billing.

For Medicare, within how many months from the date of service must fee-for-service claims be filed?

What are some basic things that should not be documented in medical records? (List at least 6 basic items.)

What are some consequences of incorrect coding?