Question

In: Statistics and Probability

Last year, a practice's returned claims were 5% of total submissions (400,000 claims). The accuracy standards...

Last year, a practice's returned claims were 5% of total submissions (400,000 claims). The accuracy standards require 97.0% accuracy and you hope to see this standard applied enterprise wide for all coding. How many returned claims will be allowed?

20,000 claims
320,000 claims
388,000 claims
12,000 claims

Solutions

Expert Solution

Number of returned claims that will be allowed

= (100 - 97)% of 400000

= 3% of 400000

= 400000 * 3/100

= 12000 claims

Option D is correct.


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