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insurance carrier that states "Lower level of care could have been provided." What steps should the biller take? Correct Answer: Check with the provider and write an appeal to the insurance carrier explaining why the service was provided in an ASC. A claim was resubmitted to AAPC Insurance Company through a clearinghouse 60 days after the date of service and the claim was denied. AAPC Insurance Plan has a 60 day timely filing limit. The biller checked the claim status system and determined AAPC Insurance Plan did not receive the claim. What action should the biller take? Correct Answer: Check the clearinghouse' report and appeal the denial with proof of claim submission What is the definition of bad debt? Correct Answer: A debt that is likely to remain unpaid and end up sent to collections and written off by the provider. What does a high number of days in A/R indicate for a medical practice? Correct Answer: The practice potentially has a problem in the revenue cycle. What should be included in a financial policy? Correct Answer: - Explanation that patient balances are due at the time services are provided - List of insurance carriers the providers are contracted with Downloaded by Peace Ogwuche (peaceogwuchel23@ gmail.com)
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