TEST-BANK for
Comprehensive Health Insurance: Billing, Coding, and Reimbursement
3rd Edition
Author(s): Vines, Braceland, Rollins, Miller
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Sample Questions
  • Providers never have a financial interest in common with a centralized billing office (CBO).
  • What is a reason code used on an EOB?
  • Explain how the EOB is used in the coordination of benefits process.
  • An objective, unbiased group of physicians that determines what payment is adequate for services ...
  • When the practice receives the EOBs and documentation of deposit from the lockbox, the office ...
  • When two or more modifiers are necessary to completely define a service, the medical office ...
  • Qualified independent contractors must process a reconsideration within: 30 days. 60 days. ...
  • The benefit payment information on an EOB indicates who was paid, how much, and when.
  • The section of the EOB that summarizes the total deductions, charges NOT covered by the plan, and ...
  • If a TRICARE beneficiary receives services from a nonauthorized provider, the physician can bill: ...
  • The Medicare Shared Savings Program is the most well-known and standardized example of value-based ...
  • Reason and remark codes are explained on the face or back of the EOB/ERA.
  • The TRICARE plan that offers a higher-cost, point-of-service option for care received from ...
  • ________ is the act of processing a claim that consists of edits, review, and determination.
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