100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing week_3_test Review with Verified Solutions $14.99   Add to cart

Exam (elaborations)

(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing week_3_test Review with Verified Solutions

 4 views  0 purchase

(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing

Preview 2 out of 5  pages

  • September 13, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (11)
avatar-seller
YourAssignmentHandlers
Question 1

2.5 out of 2.5 points

What can a physician do if an authorization is denied because a test is deemed "medically
unnecessary?"

Selected Answer:
present clinical reasons to the medical director in attempt to appeal


Question 2

2.5 out of 2.5 points

A plan specified facility where managed care plans require their patients to get laboratory and
radiology tests performed is called

Selected Answer:
network


Question 3

2.5 out of 2.5 points

When insurance carriers do not pay claims in a timely manner, what effect does this have on the
medical practice?

Selected Answer:
Decreased cash flow


Question 4

0 out of 2.5 points

What should be done if an insurance claim denial is received because a billed service was not a
program benefit?

Selected Answer:
Rebill with a letter of explanation from the physician




This study source was downloaded by 100000888893651 from CourseHero.com on 09-12-2024 20:25:14 GMT -05:00


https://www.coursehero.com/file/28131138/week-3-test-me2550-Idocx/

, Question 5

2.5 out of 2.5 points

Pending or resubmitted insurance claims may be tracked through a _____ file

Selected Answer:
tickler


Question 6

2.5 out of 2.5 points

An insurance claim with an invalid procedure code would be

Selected Answer:
rejected


Question 7

2.5 out of 2.5 points

The average amount of accounts receivable should be _____ times the charges for 1 month of
services.

Selected Answer:
1.5 to 2


Question 8

2.5 out of 2.5 points

When receiving payment from a private insurance carrier, check the amount of payment on the
EOB with the

Selected Answer:
patient's financial accounting record




This study source was downloaded by 100000888893651 from CourseHero.com on 09-12-2024 20:25:14 GMT -05:00


https://www.coursehero.com/file/28131138/week-3-test-me2550-Idocx/

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72964 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart