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expeople1 [14]
3 years ago
9

when sending a claim to the insurance company for services provided by the physician why are both ICD-10 and CPT codes required

to be submitted? What would be the result of not submitting both codes on a medical claim to the insurance company?
Business
1 answer:
SSSSS [86.1K]3 years ago
8 0

When a patient receives services from a licensed doctors, these services are recorded and assigned codes by the medical coder. ICD codes are used for diagnoses, while CPT codes are used for various treatments. The summary of these services, through these code sets, make up the bill. Medical Claim Billings are rejected when Diagnostic code (ICD-10 code) and procedure code (CPT code) are missing, not complete, or do not match to the treatment given by the physician.

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Answer: 4 containers

Explanation:

The formula used to get the number of containers that are needed will be:

N = DT(1+X)/C

where,

N = total containers

D = planned usage rate used by the work center = 111 parts per hour

T = average waiting time = 100 minutes = 100/60 hours = 1.67 hours

X = inefficiency factor = 0.21

C = capacity of standard container = 5 dozens = 5 × 12 = 60 parts

N = DT(1+X)/C

N = (111 × 1.67)(1 + 0.21)/60

N = (185.37 × 1.21)/60

N = 224.2977/60

N = 3.738

N = 4 approximately

4 containers will be needed

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3 years ago
In 2009, regulations for credit cards were changed by A. agreements between bankers and borrowers. B. the Credit Cardholders' Bi
Leni [432]

Answer:

The correct answer is B. the Credit Cardholders' Bill of Rights.

Explanation:

Basically, the new rule is intended to protect consumers from an arbitrary increase in interest rates, fees, and other finance charges, and prohibits banks from raising interest based on the customer's past due payment history with another banking institution. In addition, entities must allow customers to pay their bills online or by phone, without charging an additional fee, and must notify 45 days in advance of any change in interest rates so that the customer has enough time to review the new terms.

5 0
3 years ago
Katie, a single taxpayer, is a shareholder in Engineers One, a civil engineering company. This year, Katie’s share of net busine
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Answer:

A) Katie's maximum deduction is $200,000 x 20% = $40,000

But we must check that her deduction meets 3 requirements:

  1. cannot exceed 50% of her earned wages = $300,000 x 50% = $150,000 ✓ requirement met
  2. cannot exceed 25% of her earned wages + 2.5% of qualified property = ($300,000 x 25%) + ($150,000 x 2.5%) = $78,750 ✓ requirement met
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B) Katie's maximum deduction is $400,000 x 20% = $80,000, but since her net business income is higher than her taxable income, she must calculate 20% x $350,000 (taxable income) = $70,000 (same as requirement 3 in previous answer)

3 0
3 years ago
What are the phases of Design Thinking and discuss its importance
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Answer:

Design thinking is a non-linear, iterative process that teams use to understand users, challenge assumptions, redefine problems and create innovative solutions to prototype and test. Involving five phases—Empathize, Define, Ideate, Prototype and Test—it is most useful to tackle problems that are ill-defined or unknown.

Explanation:

4 0
3 years ago
Read 2 more answers
Palencia Paints Corporation has a target capital structure of 25% debt and 75% common equity, with no preferred stock. Its befor
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Answer:

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From the gordon model we determinate Ke

\frac{divends}{return-growth} = Intrinsic \: Value

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\frac{divends}{Price} + growth = return

D1 2.7 (we are given with D0 so we multiply by (1+g) to get D1

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g 0.08

$Cost of Equity =\frac{2.7}{29} +0.08

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Ke 0.1731

Equity weight 0.75

Kd 0.11

Debt Weight 0.25

t 0.4

WACC = 0.1731(0.75) + 0.11(1-0.4)(0.25)

WACC 14.63250%

7 0
2 years ago
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