If a claim is denied as a noncovered service, the medical office specialist should:
bill the patient.
write off the entire amount.
negotiate with the patient for partial payment.
file an appeal with the insurance carrier.
Question 2
Certain organ transplants are covered under Part A as long as:
a second opinion has been obtained prior to the surgery.
services are performed in a hospital that is an approved Medicare provider.
the patient has not exceeded his or her Part A benefit limit.
an in-home caregiver will be available to care for the patient after surgery.
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