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 54 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
:D TYSM


tuate

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

For a complete list of videos, visit our video library