This topic contains a solution. Click here to go to the answer

Author Question: A third-party administrator (TPA) is an entity that __________ and may contract with a health care ... (Read 30 times)

jace

  • Hero Member
  • *****
  • Posts: 541
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
Answer to Question 1

c

Answer to Question 2

b




jace

  • Member
  • Posts: 541
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


komodo7

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

For a complete list of videos, visit our video library