question archive 14- Scenario 14: A Remittance Advlce was received for an outpatient claim For $3

14- Scenario 14: A Remittance Advlce was received for an outpatient claim For $3

Subject:Health SciencePrice:9.82 Bought3

14- Scenario 14: A Remittance Advlce was received for an outpatient claim For $3.6m]. The patient's coverage
allowed for the test to he performed once in a 12-month period. The patient had the test performed ll] months
ago. The claim will be written off.

pur-new-sol

Purchase A New Answer

Custom new solution created by our subject matter experts

GET A QUOTE

Answer Preview

Scenario 14:

Questions Remittance Advice Facility Response Responsible Party/ Department
Answers Denial Accept
  • Patient Accounts

 
Reasons
  • under $50,000
  • accepted
  • written off
  • The coverage of laboratory tests for outpatient without medical necessity
  • Does not meet guidelines
  • No ABN signed
  • Patient Accounts - To reconcile the expected amount from the patient, since for write-off and unacceptable for appeal

Step-by-step explanation

Based on the student's attached screenshot for question and attachment as reference.

Sitejabber (5.0)

Merchant Circle (4.8)

Trustpilot (4.6)

Study Help Me (4.9)

Related Questions