________ billing is when a patient is charged for the difference between what a doctor bills and what the provider and insurance company agree upon.

In which month do commercial insurance and Medicare deductibles start each year?

What is capitation?

A type of health coverage that typically allows a patient to go to any doctor or provider without permission is known as:

This health insurance coverage is available to an individual and their dependents after becoming unemployed - either due to voluntary or involuntary termination of employment for reasons other than gross misconduct.

True or False: If a payer requests medical records, you have an obligation to comply.

Which does the acronym HIPAA stand for?

What is not one of the eligibility criteria for Medicare?

What is the need for insurance verification?

What is the length of the standard CPT codes?

Identify the order of events after a claim reaches the insurance carrier: 1.Application of leftover deductible 2.Examining the procedures performed and the 'medical necessity' on these procedures 3.Application of 'allowable payments options' for every procedure performed 4.Review of the claim for proper formatting and information