« previous next »

Author Question: A claims examiner employed by a third-party payer reviews health-related claims to determine whether ... (Read 92 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?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

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?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Approach used to determine the evolutionary relationships among many animal species using molecular Approach used to determine the evolutionary relationships among many animal species using molecular
Nurses may collaborate with social workers, physicians, and other members of the health care team to Nurses may collaborate with social workers, physicians, and other members of the health care team to
The proportion of men and women with elevated blood pressure or taking hypertension medication incre The proportion of men and women with elevated blood pressure or taking hypertension medication incre
In countries where water can be contaminated, breastfeeding is an important option for the health of ... In countries where water can be contaminated, breastfeeding is an important option for the health of ...
The first step in the reprogramming procedure is to determine the current software installed using a ... The first step in the reprogramming procedure is to determine the current software installed using a ...
Humans are related to Earth’s other organisms Humans are related to Earth’s other organisms
Video: Oxygen transport - methods and oxyhemoglobin

For a complete list of videos, visit our video library