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 55 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
Excellent


strudel15

  • Member
  • Posts: 324
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

For a complete list of videos, visit our video library