Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Which of the following is not used in determining length of stay under
Medicare benefits in a skilled nursing facility?
Patient's diagnosis
Assessment
Ability to pay the daily copayment amount
Rehabilitation potential
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.
Coordination of benefits (COB) includes:
Reimbursement when a patient is covered by more than 1 health plan
Reimbursement for non-covered services
Reimbursement for not medically necessary services
Reimbursement for diagnosis mismatch
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Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, health-nutrition and related others by exploring similar questions and additional content below.Similar questions
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- The bag technique is a tool by which the nurse, during her visit will enable her to perform a nursing procedure with ease and deftness, to save time and effort, with the end view of rendering effective nursing care to clients. Of the following statements, which bears the LEAST truth with regard to the bag technique? The bag technique should show the effectiveness of total care given to an individual or family O None of the options O Performing the bag technique will minimize, if not prevent the spread of infection O The bag technique will save time and effort in the performance of nursing procedures Of the following equipment / instruments, which should not be placed inside the nursing bag?1. Ophthalmic ointment 2. 3. Soiled apron Disposable gauge 18 needle 4. Sphygmomanometer 1,3 2,4 O None of the options 3,4arrow_forwardExplain how the provider’s perspective revenue cycle differs from the patient's perspective revenue cycle in ensuring revenue integrity.arrow_forwardBased on the image below think of a 5 year plan as a nurse using all the boxes provided in the image.arrow_forward
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