« previous next »

Author Question: A physician may bill a Medicaid patient for services if the: service was not medically necessary. ... (Read 202 times)

jhjkgdfhk

  • Hero Member
  • *****
  • Posts: 569
on: Jun 27, 2018
A physician may bill a Medicaid patient for services if the:
 
  service was not medically necessary.
 
  patient signed an advance beneficiary notice (ABN).
 
  claim was not filed in a timely manner.
 
  necessary preauthorization was not obtained.

Question 2

Where can a medical office specialist find the annually established Medicare conversion factor (MCF)?
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


gabrielle_lawrence

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: patient signed an advance beneficiary notice (ABN).

Answer to Question 2

Answer: The updated MCF is published each year in the Federal Register.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Patient with a cerebrovascular accident. Patient with a cerebrovascular accident.
A patient centered care approach A patient centered care approach
A recruiting poster for the “True Sons of Freedom” encouraged African Americans to enlist. In fact, A recruiting poster for the “True Sons of Freedom” encouraged African Americans to enlist. In fact,
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest. A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective. Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective.
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ... The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...
Video: Phases of the Female Reproductive Cycle - Hormonal regulation

For a complete list of videos, visit our video library