Multiple Choice
Match the following
-Code shown on an explanation of benefits (EOB) to explain the coverage determination or a denial
A) deductible
B) electronic remittance advice (ERA)
C) conversion factor
D) coinsurance
E) relative value unit
F) reason code
G) adjudication
H) copayment
I) withhold
J) allowed charge
Correct Answer:
Verified
Correct Answer:
Verified
Q1: Under a capitation arrangement, a provider is
Q3: A percentage of a provider's payment that
Q4: Monies owed to a provider by insurance
Q5: No matter what amount a provider charges
Q6: Which are steps for processing reimbursements when
Q7: Match the following<br><br>-A set amount that the
Q8: A provider's usual charge for a service
Q9: Medicare conversion factor updates are based on
Q10: Explain how the EOB is used in
Q11: The RBRVS system establishes the nationally uniform