Question

To perform a proper audit, which of the following documents should be utilized?

1) Patient's medical record, copy of submitted CMS-1500 claim form, and patient's insurance information
2) Patient's medical record, copy of submitted CMS-1500 claim form, and encounter form for patient's visit
3) Patient's medical record, copy of submitted CMS-1500 claim form, and patient's demographic information
4) Both A and C

Answer 1

To perform a proper audit, the documents that should be utilized include the patient's medical record, copy of submitted CMS-1500 claim form, and patient's insurance information.

Step-by-step explanation:

The documents that should be utilized to perform a proper audit are:

1. Patient's medical record
2. Copy of submitted CMS-1500 claim form
3. Patient's insurance information

These documents provide essential information for auditing purposes. The patient's medical record contains detailed information about their healthcare, including diagnoses, treatments, and procedures.