TEST-BANK for
Comprehensive Health Insurance: Billing, Coding, and Reimbursement
3rd Edition
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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 ...
- The section of the EOB that summarizes the total deductions, charges NOT covered by the plan, and ...
- When the practice receives the EOBs and documentation of deposit from the lockbox, the office ...
- Reason and remark codes are explained on the face or back of the EOB/ERA.
- The Medicare Shared Savings Program is the most well-known and standardized example of value-based ...
- The benefit payment information on an EOB indicates who was paid, how much, and when.
- The Medicare conversion factor to be used for physician payments as of January 1, 2015, is $35.8043.
- ________ is the act of processing a claim that consists of edits, review, and determination.
- 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. ...
- If a TRICARE beneficiary receives services from a nonauthorized provider, the physician can bill: ...
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