« previous next »

Author Question: A claims examiner employed by a third-party payer reviews health-related claims to determine whether ... (Read 102 times)

Mr.Thesaxman

  • Hero Member
  • *****
  • Posts: 514
on: Jun 27, 2018
A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to
 a. assigning ICD-10-CM and CPT codes.
  b. billing patients for copayments and coinsurance.
  c. determining medical necessity of services/procedures.
  d. resubmitting denied claims to health care providers.

Question 2

The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.
 a. dates of service for procedures
  b. diagnoses and procedures/services
  c. health insurance claims identifiers
  d. national provider identifiers


yasmin

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jun 27, 2018
Answer to Question 1

c

Answer to Question 2

b


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Many hobbies and leisure activities have some risk of health-related injuries Many hobbies and leisure activities have some risk of health-related injuries
Procedures and Diagnostic Tests Related to the Urinary System Procedures and Diagnostic Tests Related to the Urinary System
Conscientiousness is negatively correlated with a number of health-related behaviors. The higher the ... Conscientiousness is negatively correlated with a number of health-related behaviors. The higher the ...
The lack of permanent disruption of language-related abilities after surgical excision of the ... The lack of permanent disruption of language-related abilities after surgical excision of the ...
Preload is related to the amount of blood and stretching of the ventricular myocardial fibers Preload is related to the amount of blood and stretching of the ventricular myocardial fibers
Use the information in the above table to establish a Born-Haber cycle to determine the ... Use the information in the above table to establish a Born-Haber cycle to determine the ...
Video: EpiPen Animation (Part 2)

For a complete list of videos, visit our video library