Kinn's Medical Assistant 14th Edition- CH 15 All Possible Questions and Answers with complete solution
7 views 0 purchase
Course
Kinn\'s Medical Assistant 14th Edition- CH 15
Institution
Kinn\'s Medical Assistant 14th Edition- CH 15
provider web portal - a secure online website that gives contracted providers a single point of
access to insurance companies this allows the provider to determine eligibility and deductible status,
submit preauthorizations/precertifications, and check the status of claims.
Explanation of Benefi...
Kinn's Medical Assistant 14th Edition-
CH 15
provider web portal - a secure online website that gives contracted providers a single point of
access to insurance companies this allows the provider to determine eligibility and deductible status,
submit preauthorizations/precertifications, and check the status of claims.
Explanation of Benefits (EOB) - A document sent by the insurance company to the provider and
the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient's
financial responsibilities.
adjudicate - to settle or determine judicially
audit - a process completed before claims submission in which claims are examined for accuracy
and completeness
capitation - a payment arrangement for healthcare providers. The provider is payed a set amount
for each enrolled person assigned to them, per period of time, whether or not that person has received
services
claims clearinghouse - an organization that accepts the claim data from the provider, reformats
the data to meet the specifications outlined by the insurance plan, and submits the claim
claim scrubbers - software that finds common billing errors before the claim is sent to the
insurance company
CMS-1500 Health Insurance claim form - the standard insurance claim form used for all
government and most commercial insurance companies.
copayment (copay) - A set dollar amount that a patient must pay out-of-pocket for medication
when it's dispensed
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 PatrickKaylian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.