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Author Question: How could a physician end up getting paid less than the allowable rate for a certain service? a. ... (Read 42 times)

mynx

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on: Jun 27, 2018
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


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chem1s3

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

Answer: c

Answer to Question 2

Answer: a


mynx

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Reply 2 on: Jun 27, 2018
Excellent

softEldritch

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Reply 3 on: Yesterday
Wow, this really help

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