HCA 110 EXAM 100% SOLVED

HCA 110 EXAM 100% SOLVED Coinsurance - ANSA fixed percentage of covered charges paid by the insured person after the deductible has been met Fee Schedule - ANSA list of charges for services or procedures performed A managed care program in which its members are expected to receive treatment only from one of its participating providers - ANSHMO A provider who participates in an insurance carrier's plan is considered to be - ANSPAR An explanation of benefits (EOB) is called - ANSRA Assignment of benefit statements are completed with these types of providers to ensure payment directly from the insurer to the provider - ANSPAR Coordination of benefits refer to - ANSthe legality of having more than one insurance policy Elderly or disabled patients who qualify for Medicare and who cannot pay for Medicare's charges may qualify for dual coverage also know as - ANSMedi/Medi Electronic claims can be sent directly to an insurance plan or through a _______ where the claim information will be standardized and "scrubbed". - ANSClearinghouse If a claim is submitted electronically, the remittance advice, how is the claim received? - ANSElectronically Medicare Part A pays what portion of hospitalization for the first 60 days - ANS100% Medicare is divided into two main parts - ANSA and