Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
14th Edition
ISBN: 9781337554220
Author: Michelle A. Green
Publisher: Cengage Learning
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The difference between a remittance advice (RA) and an explanation of benefits (EOB) is:   The RA goes to the provider only and includes payment information.    The EOB goes to the provider.   The RA is sent to the patient and includes payment information.   The EOB contains payment information.
A physician asks the medical biller to change the date of service on a Medicare claim because it has passed the timely filing limit and was not previously submitted for payment. Is this fraud or abuse if the claim is then submitted? Why?
Summarize the steps a claim must go through in order to be processed and payment received for healthcare
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