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November 25, 2022

The claim for S. Smith, a 10-year-old that had a tonsillectomy

Case Study 2 (15 points) The claim for S. Smith, a 10-year-old that had a tonsillectomy on May 8, 2019, was billed the following information on May 12, 2019: S. Smith 123 New Road Bridgeville, OH 44556 DOB 6/12/1950 CPT code 42825 Claim adjustment reason code (CARC) 6 returned on the remittance advice to indicate the procedure was not paid. Determine the issue that the CARC identifies and what steps must taken to correct it. Refer to this website for information on CARCs: http://www.x12.org/codes/claim-adjustment-reason-codes/ Note: This is case study 4.14 Remittance Advice from the AHIMA Case Study book. Resources:

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