« previous next »

Author Question: A Medicare __________ is sent to a provider when a Medicare claim has been filed but needs ... (Read 86 times)

09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
on: Jun 27, 2018
A Medicare __________ is sent to a provider when a Medicare claim has been filed but needs additional information or documentation before the claim can be processed and paid.
 
  Fill in the blank with correct word.

Question 2

The steps that result in an insurance carrier's decision to either pay or deny a claim are known as:
 
  allocation.
 
  adjudication.
 
  determination.
 
  justification.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


stallen

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jun 27, 2018
Answer to Question 1

Development Letter

Answer to Question 2

Answer: adjudication.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Thyroid conditions may make getting pregnant impossible.

Did you know?

Everyone has one nostril that is larger than the other.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
A completed CMS-1500 (02/12) claim form. A completed CMS-1500 (02/12) claim form.
Video: Introduction to Spirometry

For a complete list of videos, visit our video library