This topic contains a solution. Click here to go to the answer

Author Question: How could a physician end up getting paid less than the allowable rate for a certain service? a. ... (Read 30 times)

mynx

  • Hero Member
  • *****
  • Posts: 555
How could a physician end up getting paid less than the allowable rate for a certain service?
 
  a. The billing was done incorrectly.
  b. The UCR factors were entered incorrectly.
  c. The physician's usual fee is less than the allowable amount.
  d. The biller coded the wrong diagnosis.

Question 2

What is subtracted by the insurance company from the allowable amount prior to payment?
 
  a. Deductible, coinsurance, copayments
  b. Nothing
  c. Deductible and copayments only
  d. Deductible only



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

Answer: c

Answer to Question 2

Answer: a




mynx

  • Member
  • Posts: 555
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


meow1234

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Excellent

 

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Many of the drugs used by neuroscientists are derived from toxic plants and venomous animals (such as snakes, spiders, snails, and puffer fish).

For a complete list of videos, visit our video library