Processing Claims
A number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer.
Medical billing specialists typically use software to record patient data, prepare claims, and submit them to the appropriate party, but there isn’t a universal software application that all healthcare providers and insurance companies use. Even so, insurance claims software use a set of standards, mandated as by the HIPAA Transactions and Code Set Rule (TCS). Adopted in 2003, the TCS is defined by the Accredited Standards Committee (ACS X12), which is a body tasked with standardizing electronic information exchanges in the healthcare industry.
There are two different methods used to deliver insurance claims to the payer: manually (on paper) and electronically. The majority of healthcare providers and insurance companies prefer electronic claim systems. They are faster, more accurate, and are cheaper to process (electronic systems save around $3 per claim). But because paper claims have not yet been completely removed from the insurance claims process, it is important for the medical biller and coder to be well versed with both electronic and hardcopy claims.
Filing Electronic Claims
Certain technologies have been introduced into the system in order to expedite claim processing and increase accuracy.
Software
Some healthcare providers use software to electronically enter information into CMS-1500 and UB-04 documents. Using “fill and print” software eliminates the possibility for unreadable information. This software may also include certain types of “scrubbing,” or tools that check for errors in the documents. While these tools do decrease the amount of errors made in filling out claim forms, they are not always 100 percent accurate, so medical billers should remain diligent when filling out forms using software.
Answer:
I live for the crunch.
Explanation:
I don't care that it may wake up others, it's my snack, and creamy snacks and foodstuffs just seems wrong to me at times.
the crunchier the better :)
Peer pressure is the influence of friends and other people on the lives of individuals. Peer pressure can be active and passive. Threats are not passive peer pressure.
<h3>What is active and passive peer pressure?</h3>
Active peer pressure is the direct influence and intimidation of the individual by threats, bribing and teasing. Many others are included in the active peer pressure as they are directly done towards the targeted person.
Passive peer pressure is the indirect influence and intimidation by the means of television, radios, role models, celebrity and popular groups at educational or office places.
Therefore, option B. threat is not passive peer pressure.
Learn more about passive peer pressure here:
brainly.com/question/1565629
Your muscules need protein so they can build muscle faster and healthier <span />
Answer:An indurated wheal over 10 mm in diameter appears in 48 to 72 hours.
Explanation:Tobacullosis is a very deadly Microbiological infection specifically caused by Mycobacterium tuberculosis,it is very contagious and can easily spread from one patient to another uninfected person.
PPD(purified protein derivative) is a test procedure which involves the use of the skin to test for the presence of Mycobacterium tuberculosis which is the cause of Tuberculosis.
If an indurated wheal over 10 mm in diameter appears in 48 to 72 hours occurs it means a positive test result.
