Kinn's Medical Assistant 14th Edition- CH 15 . Exams Questions With Correct Answers.
5 views 0 purchase
Course
Kinn\'s Medical Assistant
Institution
Kinn\'s Medical Assistant
Kinn's Medical Assistant 14th Edition- CH
15 . Exams Questions With Correct
Answers.
Adjudicate - answerto settle or determine judicially
audit - answera process completed before claims submission in which claims are examined
for accuracy and completeness
capitation - answera payment arrangem...
Kinn's Medical Assistant 14th Edition- CH
15 . Exams Questions With Correct
Answers.
Adjudicate - answer✔✔to settle or determine judicially
audit - answer✔✔a process completed before claims submission in which claims are examined
for accuracy and completeness
capitation - answer✔✔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 - answer✔✔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 - answer✔✔software that finds common billing errors before the claim is sent to
the insurance company
CMS-1500 Health Insurance claim form - answer✔✔the standard insurance claim form used for
all government and most commercial insurance companies.
copayment (copay) - answer✔✔A set dollar amount that a patient must pay out-of-pocket for
medication when it's dispensed
eligibility - answer✔✔meeting the stipulated requirements, as to participate, compete, or work;
qualified
endoscopy - answer✔✔nonsurgical procedure used to examine a person's digestive tract
Explanation of Benefits (EOB) - answer✔✔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.
medical necessity - answer✔✔Services or supplies must be appropriate and necessary for the
symptoms, diagnosis, and/or treatment of the medical condition and they meet the standards of
good medical practice
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 Thebright. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
