This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: What various systems are used for classifying diagnoses and ... (Read 9 times)

luvbio

  • Hero Member
  • *****
  • Posts: 623
on: Jul 12, 2018
What various systems are used for classifying diagnoses and procedures?

Question 2

Why is coordination of benefits important to an MCO?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cclemon1

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jul 12, 2018
Answer to Question 1

ICD, CPT

Answer to Question 2

Coordination of benefits requires identification of the primary insurance payer. In some cases, patients may have two insurers, such as one through an employer and a purchased HMO policy to supplement the basic policy. The MCO has to coordinate the benefits to ensure that the primary insurance payer is billed first. The MCO may be the secondary payerwhich means that the MCO would pay a percentage of the unpaid balance once the primary insurance has paid.


luvbio

  • Member
  • Posts: 623
Reply 2 on: Jul 12, 2018
Wow, this really help

frankwu0507

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Root Systems of Eudicots and Monocots Root Systems of Eudicots and Monocots
body systems body systems
Dual Systems Model of Risk-Taking Dual Systems Model of Risk-Taking
The effects of undernourishment on the body systems. The effects of undernourishment on the body systems.
Systems with Three or More Particles Systems with Three or More Particles
All human organ systems and their functions (Part 1) All human organ systems and their functions (Part 1)
Video: Nerve Impulse Transmission Animation

For a complete list of videos, visit our video library