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- 1. Multiple Choice
A reopening is a reprocessing of a claim to fix minor mistakes.
True
False
- 2. Multiple Choice
You will have as long as you want to submit a Redetermination.
True
False, you have 120 days from the claim determination.
- 3. Multiple Choice
A redetermination is an examination of a claim that includes analysis of documentation.
True
False
- 4. Multiple Choice
Modifiers 24, 25, 57, 58, 59, and 78 are some examples of Reopenings.
True
False
- 5. Multiple Choice
Modifiers 22, 52, 53 require claim documentation to avoid having to submit a redetermination.
True
False
- 6. Multiple Choice
When Medicare records are updated to show as primary payer, providers cannot reopen via Connex.
True
False
- 7. Multiple Choice
Are changing diagnosis codes redeterminations?
Yes
No
- 8. Multiple Choice
Would you reopen a claim to void line billed in error and resubmit a corrected claim?
No, correct the initial claim.
Yes
- 9. Multiple Choice
Are Modifiers GV and GW reopenings or redetermination
Reopenings
Redeterminations
- 10. Multiple Choice
When submitting a redetermination for repeat procedures, will you need to supply documentation on how many services were performed?
Yes
No
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