To accurately post payments, the medical office specialist must be familiar with insurance carriers' and other payers':
financial health and industry rating.
contracts, procedures, and Explanation of Benefits (EOB) formats.
address, phone number, and e-mail address.
managers, administrators, and local representatives.
Answer: contracts, procedures, and Explanation of Benefits (EOB) formats.
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A claims examiner follows a systematic process in which he identifies all pertinent claim issues in order to maintain consistency and accuracy. Which of the following is NOT considered to be an issue that would be examined by this individual?
a. Issues with eligibility at the time of the claim b. Indications of other possible coverage plans c. A determination of what the policy/plan language provides d. Issues of keeping the claimant informed
When teaching Emergency Medical Responders about air bags, what point would you emphasize?
A) Properly placed air bags eliminate the need for seat belts. B) The benefit of air bags is decreased in multiple collisions. C) Air bags prevent broken glass from striking the occupant. D) Air bags are effective in decreasing injury in a rollover-type collision.
The ____ abbreviation in the Index represents "other specified" when a specific code is not available for a condition and the Index directs the coder to the "other specified" code in the Tabular.
Fill in the blank(s) with the appropriate word(s).
Toxoplasma Hepatitis __________
Fill in the blank(s) with the appropriate word(s).