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Allisa [31]
2 years ago
6

As a billing specialist you are responsible to billing claims to the third-party payers.

Medicine
1 answer:
defon2 years ago
4 0

Answer:

The goal of the medical biller is to ensure that the provider is properly reimbursed for their services. In the pursuit of this goal, errors, both human and electronic, are unfortunately unavoidable. Since the process of medical billing involves two incredibly important elements (namely, health and money), it’s important to reduce as many of these errors as possible. In this brief course, we’ll introduce you to some common errors in the medical billing practice.

Before we jump into that discussion, however, let’s review the difference between a rejected and denied claim.

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Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rod
Sveta_85 [38]

<u>Answer:</u>

<u> Dr Brennan can charge Mary Rogers no more than the cost-sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15 per cent of the Medicare rate. </u>

<u>Explanation:</u>

Note that the terms PFFS (Private-Fee-for-Service) refers to Medicare advantages one stands to gain when under an insurance cover.

Thus, according to the terms of the Medicare Private-Fee-for-Service (PFFS), Dr Brennan is restricted to charge Mary Rogers no more than the cost-sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15 per cent of the Medicare rate.

8 0
3 years ago
Which of the following is NOT a symptom of diabetes melltus?
Korolek [52]

Answer:

The correct option is d. all listed symptoms are associated with diabetes melitus

Explanation:

Diabetes, the short name for Diabetes mellitus, is a group of metabolic disorders. In this condition, the sugar level in the blood of the patient is high for a prolonged period.

Some of the symptoms of untreated diabetes include-

1. polyuria: excessive urination

2. polyphagia: increased hunger or appetite

3. polydipsia: excess thirst

4. glucosuria : excretion of glucose into the urine. Normally, the kidneys absorb the blood sugar back into the blood vessels. But due to the increased blood sugar levels, the kidneys do not absorb enough blood sugar and passes it into the urine.

Therefore, all of the listed symptoms are associated with diabetes mellitus.

4 0
3 years ago
Read 2 more answers
4. Select the TRUE statement:
Viktor [21]

C. ICS provides a structure for organizing field-level operations for a broad spectrum of incidents. - is the TRUE statement.
8 0
3 years ago
What are 3 characteristics of memory
loris [4]

Location.

Capacity.

Unit of Transfer.

8 0
2 years ago
Read 2 more answers
Proton-pump inhibitors are drugs that block the secretions of gastric acids. Which cells are affected by these drugs?
Mashutka [201]

Answer: Parietal cells

Explanation:

Parietal cells secrete hydrochloric acid in the stomach. They are also known as oxyntic cells. They are the epithelial cells which is located in the gastric glands found in the lining of the fundus and cardia of the stomach.

The proton pump blocks the hydrogen ion pump in the parietal cells. These drugs are commonly known by the name of omeprazole.

They block the the H+/K+ ATPase proton pump which inturn inhibits both basal and stimulated secretion of the gastric acid from the cells.

4 0
3 years ago
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