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You work in a physician's office and have just submitted several claims to a commercial insurance company. Your office will probably be reimbursed based on a?

resource utilization group decision


What is the difference between filed and unfiled commercial property floaters?

Filed forms have been reviewed and approved for use by a state Insurance Department for sale by the insurance company that submitted it for approval. Unfiled forms are floaters an insurance company markets to customers which are subject to later review by a state Insurance Department, if necessary.


When a diagnosis is submitted on an insurance claim it must be supported by?

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When a diagnosis is submitted on an insurance claim what must it be supported by?

pictures


What is shadow billing in medical billing?

Hospitals are reimbursed by Medicare for handling a high level of indigent patients and are also reimbursed for educating interns and residents. When a Medicare patient is covered by a Medicare Replacement Plan (HMO Insurance for medicare patients), the hospital can only get the extra reimbursement for indigent patients and educating intern and residents if they send Medicare a "shadow bill". Basically, it is a copy of the identical bill sent to the HMO which is submitted to Medicare only for the purpose for the extra payment.


the documented submitted to the payer requesting reimbursment is?

Terms in this set (50) The document submitted to the payer requesting reimbursement is called a. Health insurance claim.


Which coding systems are used for claims submitted by physicians?

CPT, ICD-9-CM Volumes 1 & 2, and HCPCS Level II.


Standard claim submitted by physicians office?

AnswerIt was the HCFA-1500, now I think its called the CMS-1500. Same form though.


What does insurance form mean?

Insurance form means the proposal form to be filled and submitted by the applicant to the insurance company which may accept the proposal to insure the applicant.


What is the rates for mileage for travel when gas is reimbursed?

The rate for mileage and for gas are completely different and is dependent upon the company in which you work. Gas is considered an expense and as such receipts for gas should be submitted to your company and you should be reimbursed for the actual amount of gas purchased if they don't pay mileage. Mileage includes everything from gas to wear and tear on your vehicle and the insurance you pay on your car. The current dollar rate per mile in the U.S. is 48 cents. That's also the amount you can claim on your taxes if you're not paid for gas or mileage by the company.


What is it called when a bill is submitted to insurance company for payment?

The term usually used is a "claim".


How long pay insurance premium to Insurance Company after truck accident?

You will continue to pay insurance premium to renew the policy,irrespective of the claim to be submitted after truck accident.