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