Revenue Cycle Management Ch.13 BlueCross BlueShield Practice Questions and Answers
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Course
Bluecross Blueshield
Institution
Bluecross Blueshield
Revenue Cycle Management Ch.13
BlueCross BlueShield Practice
Questions and Answers
One of the requirements that a participating provider must comply with is to
a. purchase billing manuals and newsletters published by the payer and pay registration
fees to attend payer training sessions.
b. ma...
Revenue Cycle Management Ch.13
BlueCross BlueShield Practice
Questions and Answers
One of the requirements that a participating provider must comply with is to
a. purchase billing manuals and newsletters published by the payer and pay registration
fees to attend payer training sessions.
b. make fee adjustments for the difference between amounts charged to patients for
services provided and payer-approved fees.
c. maintain a provider representative department to assist with billing and payment
problems for submitted claims.
d. write off deductible and copay/coinsurance amounts and accept as payment in full
the BCBS-allowed fees. - Answer✔️✔️-make fee adjustments for the difference between
amounts charged to patients for services provided and payer-approved fees.
Which is a program that requires providers to adhere to managed care provisions?
a. indemnity
b. traditional coverage
c. fee-for-service
d. preferred provider network - Answer✔️✔️-preferred provider network
One of the expectations that a nonparticipating provider has is to _____ for services
rendered.
a. obtain payment for the full fee charged
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