Third party payer - Study guides, Class notes & Summaries
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CBCS Final Practice Test (NHA) 2024/2025 graded A+
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CBCS Final Practice Test (NHA) 2024/2025 graded A+
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NHA CEHRS Final practice test review | 230 Questions with 100% Correct Answers | Updated & Verified
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how does the registration process begin in an outpatient setting? - ANS - when a new patient 
calls the office for an appointment to see a provider. 
what does a front staff member do once they obtain information from a new patient? - ANS - 
they create an account that includes the patient's identity, medical condition, and 
insurance/payment info. 
what does a front staff member do once they obtain information from an established patient? - 
ANS - the staff member searches for the patient reco...
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NHA CBCS EXAM REVIEW l Fully solved 2023
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Which of the following Medicare policies determines if a particular item or service is 
covered by Medicare? - CORRECT ANSWER National Coverage Determination 
(NCD) 
A patient's employer has not submitted a premium payment. Which of the following 
claim statuses should the provider receive from the third-party payer? - CORRECT 
ANSWER Denied 
A billing and coding specialist should routinely analyze which of the following to 
determine the number of outstanding claims? - CORRECT ANSWER Agin...
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Test Bank For Old's Maternal-Newborn Nursing and Women's Health Across the Lifespan, 11th Edition (Patricia Ladewig, 2024) | All Chapters Included | Complete Latest Guide A+.
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Test Bank For Old's Maternal-Newborn Nursing and Women's Health Across the Lifespan, 11th Edition (Patricia Ladewig, 2024) | All Chapters Included | Complete Latest Guide A+. 
Chapter 1 : Contemporary Maternal-Newborn Nursing 
1) The nurse is speaking to students about changes in maternalnewborn care. One change is that self-care has gained wide 
acceptance with clients and the healthcare community due to 
research findings that suggest that it has which effect? 
A) Shortens newborn length of ...
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HITT 1253 Legal & Ethical PART II Final Exam ALL SOLUTION LATEST EDITION SPRING FALL 2023/24 GUARANTEED GRADE A+
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Which of the following are subject to strike legal requirements? 
 
D. Records, regardless of format 
 
That part of the health record used for continuity of care is the _____ information. 
 
A. Clinical 
 
The legal health record is defined as that containing the _____. 
 
A. Complete and accurate description of the patient's history, condition, Inc. care provided 
 
Federal and state statutes (laws) that directly impact the quality of the health record include requirements about _____. ...
Too much month left at the end of the money?
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PTCB Exam Questions With Correct Answers Latest Update 2024 (100% Verified)
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PTCB Exam Questions With Correct Answers Latest Update 2024 (100% Verified) Knowing which of the following can best assist a technician in the prevention of data 
entry errors? 
A. Names of medications 
B. Insurance co-payments 
C. Pharmacokinetics 
D. Physician contact information - Answer A. Names of medications 
Which of the following injectable drugs would be stored in refrigerator? 
A. Clindamycin 
B. Ciprofloxacin 
C. Cyanocobalamin 
D. Calcitonin-salmon - Answer D. Calcitonin-salmon 
The ...
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Practice Exam: PTCB Practice Exam: 100 % Questions & Answers: Latest Updated: Guaranteed A Plus Guide
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Knowing which of the following can best assist a technician in the prevention of data entry errors? 
 
A. Names of medications 
B. Insurance co-payments 
C. Pharmacokinetics 
D. Physician contact information 
 (Ans- A. Names of medications 
 
Which of the following injectable drugs would be stored in refrigerator? 
 
A. Clindamycin 
B. Ciprofloxacin 
C. Cyanocobalamin 
D. Calcitonin-salmon 
(Ans- D. Calcitonin-salmon 
 
The requirement that a non-formulary medication be covered only if approved...
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PTCB EXAM 2024 WITH 100% ACCURATE SOLUTIONS
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PTCB EXAM 2024 WITH 100% ACCURATE SOLUTIONS 
 
 
Knowing which of the following can best assist a technician in the prevention of data entry errors? 
 
A. Names of medications 
B. Insurance co-payments 
C. Pharmacokinetics 
D. Physician contact information - correct answer A. Names of medications 
 
Which of the following injectable drugs would be stored in refrigerator? 
 
A. Clindamycin 
B. Ciprofloxacin 
C. Cyanocobalamin 
D. Calcitonin-salmon - correct answer D. Calcitonin-salmon 
 
The requ...
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CSPR – Questions and Answers based on full course
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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NHA CBCS Exam Pep (New 2024/ 2025) | Questions and Verified Answers| 100% Correct| A Grade
- Exam (elaborations) • 49 pages • 2024
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NHA CBCS Exam Pep (New 2024/ 2025) | 
Questions and Verified Answers| 100% 
Correct| A Grade 
 
QUESTION 
 What are three major kinds of government insurance plans? 
 
 
Answer: 
Medicare, Medicaid and children's health insurance program (SCHIP) 
 
 
 
QUESTION 
 What is the difference between RA and EOB? 
 
 
Answer: 
RA=sent to the provider's office from the third-party payer. EOB=sent to the policyholder. 
 
 
 
QUESTION 
 What is an allowable charge? 
 
 
Answer: 
The amount the he...
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