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A good "good-bye" or closure to the office visit can save the practice follow-up phone calls and can help the patient get the most from their time at the practice. The provider should end the visit by having the patient or caregiver repeat back what the plan of care...
A benefit year is the 12-month period for which a patient is subscribed to a plan, and during which the payer has agreed to pay for services according to the patient's plan.
Accepting assignment means that: you will accept as payment in full the allowed amount established by the payer (Medicare or any other payer you are contracted with) and the payment will be sent directly to the provider for services rendered. Providers may accept...
When a payer or health plan calls your practice and requests records or requests an on-site visit to review charts, follow this guideline: Be professional at all times. Audits can be nerve-wracking and can be a drain on internal resources, but there is always...
270 ”” eligibility & benefit inquiry - Is the patient an insured of this payer? 271 ”” eligibility & benefit response (response to 270) - A yes or no response that the patient is insured 276 ”” claims status inquiry (follows 837 submission) 277 ”” claim status...
the patient has private insurance but there is no vaccine benefit the patient has private insurance but the vaccine benefit is limited to certain vaccines the patient has private insurance but the vaccine benefit caps at a specific dollar amount
A Webinar (short for web-based seminar) is an online seminar put on by a host, where the participants watch the seminars from their computers. Typically, they are either watching a Powerpoint presentation, a live demonstration on the internet or an application, or a...
The long tail is an economic concept that says the collective demand for less-popular items (in green) can exceed the all the most popular added together (in red). Online music stores are a perfect example because they can carry large collections of music just as...
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