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 47 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
Great answer, keep it coming :)

sarah_brady415

  • Member
  • Posts: 328
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Thyroid conditions may make getting pregnant impossible.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Roles of the central and peripheral nervous systems. Roles of the central and peripheral nervous systems.
Vegetative Organs and Systems Vegetative Organs and Systems
The Sleep/Waking Flip-Flop According to Saper et al. (2001), the major sleep-promoting region (the v The Sleep/Waking Flip-Flop According to Saper et al. (2001), the major sleep-promoting region (the v
Review of Systems ROS Cont. Review of Systems ROS Cont.
Eukaryotic signal transduction systems involving membrane receptors (1–5)/ second messengers (1-4) Eukaryotic signal transduction systems involving membrane receptors (1–5)/ second messengers (1-4)
Examples of animal digestive systems. Examples of animal digestive systems.
Video: Types of synapses - electrical & chemical

For a complete list of videos, visit our video library