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

Author Question: A third-party administrator (TPA) is an entity that __________ and may contract with a health care ... (Read 43 times)

jace

  • Hero Member
  • *****
  • Posts: 541
on: Jun 27, 2018
A third-party administrator (TPA) is an entity that __________ and may contract with a health care clearinghouse to standardize data for claims processing.
 a. combats waste, fraud, and abuse in health insurance and health care delivery
 b. improves portability and continuity of health insurance coverage in group/individual markets
  c. processes health care claims and performs related business functions for a health plan
 d. simplifies the administration of health insurance by creating unique identifiers

Question 2

Adopting HIPAA's standard code sets has improved data quality and simplified claims submission for health care providers who routinely deal with multiple __________.
 a. clearinghouses
  b. health plans
 c. markets
 d. physicians


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nothere

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jun 27, 2018
Answer to Question 1

c

Answer to Question 2

b


jace

  • Member
  • Posts: 541
Reply 2 on: Jun 27, 2018
Excellent

31809pancho

  • Member
  • Posts: 317
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

In 1886, William Bates reported on the discovery of a substance produced by the adrenal gland that turned out to be epinephrine (adrenaline). In 1904, this drug was first artificially synthesized by Friedrich Stolz.

Did you know?

Most childhood vaccines are 90–99% effective in preventing disease. Side effects are rarely serious.

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Horses require routine hoof care Horses require routine hoof care
The patient and his family meet with the nurse to discuss progress on the patient care plan. The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse conducts the health history as the first step in the nursing assessment The nurse conducts the health history as the first step in the nursing assessment
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
Hospice care is based on the belief that when death is inevitable, professional caregivers should ... Hospice care is based on the belief that when death is inevitable, professional caregivers should ...
Kids Birthday Party Kids Birthday Party
Video: Mendel's Pea Experiment

For a complete list of videos, visit our video library