Billing & Reimbursement Utilize the table beginning on page…
Question Answered step-by-step Billing & Reimbursement Utilize the table beginning on page… Billing & ReimbursementUtilize the table beginning on page 413. Analyze each of the following denials and determine which prefix (CO or PR) and which reason code you’d receive on a remit.Patient has a service performed and the entire amount is considered deductible __________Patient indicates his name is Jimmy Smith and his insurance number is XZA1234. His insurance has him listed as James Smith ______________A hemoglobin and complete blood count are performed (includes hemoglobin) ___________Patient has music therapy for headaches. The insurance denies stating it’s not a proven effective treatment _______________An EKG was billed for 12/1. The patient dies at 11:58PM 11/30. _____________Patient has repeat Pap Smear due to abnormal cells. ABN signed but no GY modifier was added to the claim. _______________Indicate how to report the following CCI Edits:Column 1 Column 2 Modifier27722 12041 1 27722 62311 020612 36406 133641 20680 0Place of service codes for:Clinic _________ Outpatient hospital ____________ Inpatient hospital _________Case 16.21.2.3.4.Below is a line from a remittance advice. Please answer the two questions below based on the following information:POS Proc Billed Allowed DEDUCT COINS PROV PD11 99203 169.00 169.00 69.00 20.00 80.00What amount can be billed to the patient? ______________What amount is paid by the insurance company? _______________What is the name of the HIPAA electronic claim form for physicians? ______________What is the name of the HIPAA electronic RA? ________________ Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
