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Author Question: A claims examiner employed by a third-party payer reviews health-related claims to determine whether ... (Read 43 times)

Mr.Thesaxman

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  • 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
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  • Posts: 319
Reply #1 on: Jun 27, 2018
Answer to Question 1

c

Answer to Question 2

b


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