Correct Answer: Usual, customary, or reasonable
Explanation:
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More Medical Billing MCQ Questions
An illegal practice of assigning an ICD-9 diagnosis code that does not agree with the patient records for the purpose of increasing the reimbursement from the insurance payor is called:
The ICD-9-CM coding classification to identify health care for reasons other than injury or illness is
The form the provider uses to document the treatment and diagnosis for a patient visit which typically includes ICD-9 diagnosis and CPT procedural codes is the:
Charging for services that are not medically necessary are included under:
The HIPAA approved standard paper claim form submitted to insurance companies to have the outpatient health benefit or the contracted provider visit paid is the:
If the patient deductible is $600, and the deductible met is $400, the coverage is 60/40 and the physician's charge is $95, how much should the patient pay?
It is necessary to attach a document called _________ when submitting a secondary claim.
Which aspects does administrative safeguards focus on?
What is a benefit?
Which is not a part of Patient Condition Information?
Medical Billing MCQs | Topic-wise