This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A provider's office submits a claim for payment two years after the services were rendered to the ... (Read 49 times)

scienceeasy

  • Hero Member
  • *****
  • Posts: 565
on: Jun 27, 2018
A provider's office submits a claim for payment two years after the services were rendered to the patient. The filing period for the insurance company is 12 months. What would be the result for this claim?
 A) rejection
  B) denial
  C) payment
 D)appeal

Question 2

A patient requires a cardiac catheterization procedure to be done as an outpatient at a local hospital. This procedure is performed, and the claim is sent to the clearinghouse for processing. The provider receives an explanation of benefits (EOB) detailing that the claim was not preauthorized, and therefore __________ are paid to the provider.
 A) 0
  B) 100
  C) 150
 D)200


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Kjones0604

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jun 27, 2018
Answer to Question 1

B

Answer to Question 2

A


scienceeasy

  • Member
  • Posts: 565
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review

dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Vertebral compression Fractures of the spine (vertebra) can cause severe ”band-like” pain that radia Vertebral compression Fractures of the spine (vertebra) can cause severe ”band-like” pain that radia
HCPCs Modifiers Used for Medical Office Services HCPCs Modifiers Used for Medical Office Services
Security Tips for Accepting Various Forms of Payment Security Tips for Accepting Various Forms of Payment
The age-related increase in spirituality is different for two cohorts born seven years apart. The ... The age-related increase in spirituality is different for two cohorts born seven years apart. The ...
A pedigree for albinism collected in the early years of the twentieth century by Charles Davenport, A pedigree for albinism collected in the early years of the twentieth century by Charles Davenport,
Jamal plans to retire in 17 years. He is saving $2000 every start of the month in a retirement ... Jamal plans to retire in 17 years. He is saving $2000 every start of the month in a retirement ...
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library