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True/False Quiz
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1
Receiving an answer to online adjudication takes about 15 minutes with today’s high-speed computers and networks.
A)True
B)False
2
Edits are also performed to check the accuracy and safety of information contained in the claim.
A)True
B)False
3
Common administrative edits include a Therapeutic Duplication check.
A)True
B)False
4
A High Dollar edit prevents claims that exceed a normally expected dollar threshold from continuing to process without correction of data from pharmacy or override for special circumstances.
A)True
B)False
5
There are about the same number of administrative and safety edits.
A)True
B)False
6
Edits may still be pending when a prescription is dispensed.
A)True
B)False
7
Today, remittance advices are transmitted electronically.
A)True
B)False
8
Medicare offers free software for remittance advices.
A)True
B)False
9
An adjustment occurs when the amount charged on a claim is equal to the amount paid.
A)True
B)False
10
Codes for adjustments are only updated one time per year.
A)True
B)False





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