Primary payer - Study guides, Class notes & Summaries

Who are case managers responsible to and for? Payer, Provider, Client, and Colleague. Case management is one of the primary places in human service systems where the whole person is taken into account. True or false? True

NHA,CBCS Exam (New 2024/ 2025 Update) |Questions and Verified Answers| 100% Correct| A Grade QUESTION Which of the following formats are used to submit electronic claims to a third-party payer? Answer: 837 QUESTION Urine moved from the kidneys to the bladder through which of the following parts of the body? Answer: Ureters QUESTION As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further...

Midterm Exam: NR511/ NR 511 (Latest 2024/ 2025 Update) Differential Diagnosis & Primary Care Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain Q: Your client, a 72-year-old smoker of 50 years, is at the office today for a routine physical. During your inspection of the oral mucosa, you discover a white lesion on the lateral surface of the tongue that you suspect to be cancerous. You document your finding as Answer: A white, painless, firm, ulcerated lesion w...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before Mary...

NC Medicare Supplement & Long Term Care Insurance Licensing Exam Questions and Answers Medicare - Answer- Health insurance for those over age 65, people under 65 with certain disabilities & those with ESRD (end stage renal disease - permanent kidney failure requiring dialysis or kidney transplant) CMS - Answer- Centers for Medicare and Medicaid Services administers the Medicare program. Social Security Administration handles most of the enrollment & plays a role in claims appeal process....

Management functions correct answers key functions of a manager including planning, organizing, staffing, directing & controlling Management connective processes correct answers mgmt functions that connect elements of the healthcare org. including communicating, coordinating and decision making Joint Commission correct answers primary accrediting organization for healthcare orgs. Healthcare Financial Mgmt Association (HFMA) correct answers Association of healthcare financial managers; c...

AAPC CPB - Practice Exam A/ AAPC CPB - Practice Exam B/ AAPC CPB - Practice Exam C/ AAPC CPB Final/ Questions with Certified Answers. Terms like: When a patient has Medicare primary and AARP as Medigap, what is entered on the CMS-1500 claim form in item 9d for the Insurance Plan Name or Program Name for Medicare to cross over the claim? A. Plan name followed by "MEDIGAP" B. Plan Payer ID followed by "MEDIGAP" C. COBA Medigap claim-based identifier (ID) D. Leave blank - ...

Xcel Solutions Life and Health Insurance Exam (Latest 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A Q: Which of these techniques will remove the risk of losing money in the stock market by never purchasing stocks? Answer: Risk avoidance Risk avoidance could eliminate the risk of losing money in the stock market by never investing in stocks. Q: Which of the following nursing home options would BEST suit an individual who needs some nursing care and supe...

Single-payer health care system Correct Ans Tax $ pay for health insurance provided to all residents through gov Providers may be public, private, or a combination Insurers may be not-for-profit or for-profit; tightly regulated two-tier health care system Correct Ans Mandated minimum/catastrophic coverage- required or provided for all Patients may voluntarily purchase additional coverage/ services insurance mandate Correct Ans Gov mandates that all residents purchase insurance from p...

NCCT NCMA Practice Test - Part 3 Questions and Answers a - Answer-A bed patient in a hospital is called a(n) __________. a. inpatient b. outpatient c. third party payer d. provider b - Answer-A person who represents either party of an insurance claim is the ___________. a. doctor b. adjuster c. provider d. subscriber b - Answer-A request for payment under an insurance contractor bond is called a(n) _____________________. a. insurance application b. claim c. dual choice request ...