Trcc insurance - Study guides, Class notes & Summaries

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TRCC Insurance Chapter 6  exam (100% correct and graded A+)
  • TRCC Insurance Chapter 6 exam (100% correct and graded A+)

  • Exam (elaborations) • 4 pages • 2024
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  • Adjustment - Answer-Change to a patient's account. Advisory Opinion - Answer-Opinion issued by CMS or OIG that becomes legal advice Allowed Charge - Answer-Maximum charge a plan pays for a service or procedure. Assumption Coding - Answer-reporting undocumented services the coder assumes have been provided due to the nature of the case or condition Audit - Answer-Methodical review Balance Billing - Answer-collecting the difference between a provider's usual fee and a payer's lower allow...
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