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

Author Question: How could a physician end up getting paid less than the allowable rate for a certain service? a. ... (Read 15 times)

mynx

  • Hero Member
  • *****
  • Posts: 555
How could a physician end up getting paid less than the allowable rate for a certain service?
 
  a. The billing was done incorrectly.
  b. The UCR factors were entered incorrectly.
  c. The physician's usual fee is less than the allowable amount.
  d. The biller coded the wrong diagnosis.

Question 2

What is subtracted by the insurance company from the allowable amount prior to payment?
 
  a. Deductible, coinsurance, copayments
  b. Nothing
  c. Deductible and copayments only
  d. Deductible only



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

Answer: c

Answer to Question 2

Answer: a




mynx

  • Member
  • Posts: 555
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Most women experience menopause in their 50s. However, in 1994, an Italian woman gave birth to a baby boy when she was 61 years old.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

For a complete list of videos, visit our video library