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Author Question: When a provider receives a partial payment on a claim because the amount billed was in excess of the ... (Read 72 times)

torybrooks

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on: Jun 27, 2018
When a provider receives a partial payment on a claim because the amount billed was in excess of the maximum allowed charge, this is a:
 
  denial.
 
  downcode.
 
  determination.
 
  disallowance.

Question 2

What is Medicare Part D?
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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dmurph1496

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: disallowance.

Answer to Question 2

Answer: Medicare Part D provides prescription drug coverage.


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