CH. 20: Exercise 20.1 Questions And
Answers With Verified Solutions 100%
Correct Latest Update.
Medicare claims are processed by MACs, which is the abbreviation for Medicare
administrative ___.
contractors
Medicare claims are processed by MACs, which is the abbreviation for Medicare
administrative contractors.
CMS selects payers to process Medicare claims through a competitive ___ process.
bidding
CMS selects payers to process Medicare claims through a competitive bidding process.
The UB-04 claim is used by health care ___ to obtain reimbursement for inpatient
hospitalizations and outpatient procedures and services.
institutions
The UB-04 claim is used by health care institutions (or facilities) to obtain reimbursement for
inpatient hospitalizations and outpatient procedures and services.
An organization that processes or facilitates the processing of health information received
from another entity from a nonstandard into a standard format is called a health care ___.
clearinghouse
An organization that processes or facilitates the processing of health information received
from another entity from a nonstandard into a standard format is called a health care
clearinghouse.
If the patient's insurance policy contains a statement that the patient is not responsible for
paying what the insurance plan denies, the health care provider is prohibited from collecting
payment from the patient. This statement is called a(n) ___ harmless clause.
hold
If the patient's insurance policy contains a statement that the patient is not responsible for
paying what the insurance plan denies, the health care provider is prohibited from collecting
payment from the patient. This statement is called a hold harmless clause.
Private health insurance and employer-based group health insurance companies are
considered ___ payers.
commercial
Answers With Verified Solutions 100%
Correct Latest Update.
Medicare claims are processed by MACs, which is the abbreviation for Medicare
administrative ___.
contractors
Medicare claims are processed by MACs, which is the abbreviation for Medicare
administrative contractors.
CMS selects payers to process Medicare claims through a competitive ___ process.
bidding
CMS selects payers to process Medicare claims through a competitive bidding process.
The UB-04 claim is used by health care ___ to obtain reimbursement for inpatient
hospitalizations and outpatient procedures and services.
institutions
The UB-04 claim is used by health care institutions (or facilities) to obtain reimbursement for
inpatient hospitalizations and outpatient procedures and services.
An organization that processes or facilitates the processing of health information received
from another entity from a nonstandard into a standard format is called a health care ___.
clearinghouse
An organization that processes or facilitates the processing of health information received
from another entity from a nonstandard into a standard format is called a health care
clearinghouse.
If the patient's insurance policy contains a statement that the patient is not responsible for
paying what the insurance plan denies, the health care provider is prohibited from collecting
payment from the patient. This statement is called a(n) ___ harmless clause.
hold
If the patient's insurance policy contains a statement that the patient is not responsible for
paying what the insurance plan denies, the health care provider is prohibited from collecting
payment from the patient. This statement is called a hold harmless clause.
Private health insurance and employer-based group health insurance companies are
considered ___ payers.
commercial
