If a claim is denied as a noncovered service, the medical office ...

[nmorano1]

If a claim is denied as a noncovered service, the medical office specialist should:
 
  bill the patient.
 
  write off the entire amount.
 
  negotiate with the patient for partial payment.
 
  file an appeal with the insurance carrier.

Question 2

Certain organ transplants are covered under Part A as long as:
 
  a second opinion has been obtained prior to the surgery.
 
  services are performed in a hospital that is an approved Medicare provider.
 
  the patient has not exceeded his or her Part A benefit limit.
 
  an in-home caregiver will be available to care for the patient after surgery.

[katheyjon]

Answer to Question 1

Answer: bill the patient.

Answer to Question 2

Answer: services are performed in a hospital that is an approved Medicare provider.