Exam (elaborations)
(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing ME2550_Week_3_Assignment_D
- Institution
- Ultimate Medical Academy
(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing
[Show more]
Content preview
1. Match the following medical term with the corresponding billing rule.Answe Billing Rule Terms
r
1 Varies according to BCBS plan, with some plans having none for 1. Deductible
preventative medicine services.
4 Customarily one year from the date of service, unless otherwise 2. Coinsurance
specified in the subscriber’s or provider’s contracts
2 Typically, 20-25% patient out of pocket expense per visit for non- 3. Assignment of Benefits
preventative services.
5 Document sent by insurance to providers to explain claim 4. Claim filing deadline
reimbursement, that includes patient applicable deductible,
copayment and coinsurance expense responsibility for each claim
processed.
3 Allows payment to be made directly to the provider by BCBS. 5. Remittance Advice
This study source was downloaded by 100000888893651 from CourseHero.com on 09-12-2024 20:23:51 GMT -05:00
https://www.coursehero.com/file/174751177/ME2550-Week-3-Assignment-Ddocx/
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 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)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now