Question

When multiple claims are submitted for the same patient because more than six procedures were reported:____

Answer 1

For a patient with multiple medical procedures exceeding six, claims need to be separated from the primary procedures on the first claim and additional ones on subsequent claims, while adhering to the guidelines set by the payer.

Step-by-step explanation:

When multiple claims are submitted for the same patient because more than six procedures were reported, the claims should be separated from the primary procedures on the first claim and additional procedures on subsequent claims. This practice, often governed by medical coding and billing procedures, ensures that each procedure is accounted for accurately. It is important to follow the specific guidelines set by the payer, which may include using certain forms or electronic submission methods, to prevent delays or denials in payment.