question

4 methods for creating insurance claims

answer

computer (most common): generated from specific medical office software ?manual ?electronic (most offices will do): receive insurance payments faster; done from specific medical office software ?outsourcing to billing service

question

bill daily even if you are a small office with a few claims

answer

will enhance cash flow

question

patients that receive extended care (hospitalized patient that is in hospital for weeks or months) should be billed for services for the week and submit weekly bills.

answer

Done for cash flow purposes

question

be aware of time limit requirements in each insurance contract

answer

Usually is 60-90 days from date of service (DOS). If you do not file a claim to insurance company within specified time limit will be denied payment on the basis of "untimely filing". CANNOT bill patient; will have to write off account

question

New 1500 form

answer

New form has been changed to accommodate the use of ICD-10-CM codes.

question

The Health Insurance Claim Form (HCFA 1500 renamed CMS 1500)

answer

is a universal claim form used by ALL insurance companies, in other words it is a standardized form. Unfortunately, there is not standardization for form completion among insurance companies. The majority of blocks will be standardized but there are some blocks that differ

question

The 1500 is divided into 2 parts

answer

Top part of the 1500 (blocks 1 through 13) is the patient section. All patient information, demographic information, authorization requirements are included. All information obtained from the patient (insurance cards, secondary payer requests, patient information sheet, authorization to release medical information and assignment signatures) are included in Blocks 1-13. All provider related information is included in Blocks 14 through 33

question

what was done

answer

CPT (procedures/services)

question

when was service provided

answer

DOS (Date of Service

question

why was procedure/service done

answer

ICD-9-CM or ICD-10-CM when it becomes effective

question

where was it done

answer

POS (place of service

question

who did it

answer

who was the provider

question

Must follow Optical Character Recognition (OCR) guidelines when filling out forms

answer

Ensures that forms can be optically scanned by insurance companies. THESE ARE THE RULES FOR CLAIMS SUBMISSIONS. NEED TO KNOW AND UNDERSTAND THESE RULES

question

NO photocopies of the 1500 form

answer

must be the original red ink

question

Applies to hardcopy claims only

answer

Most providers bill electronically to receive faster payment. Medicare has incentives to ensure electronic claim submission

question

Black ink only with standard font

answer

no bold, italics, script

question

on paper

answer

Proper alignment

question

paper

answer

No handwriting on the form

question

on correction

answer

No strike over corrections or white out/correction fluid

question

Complete additional form(s) of more than 6 services

answer

block 24 only has 6 service blocks

question

NO narratives in blocks 21 or 24

answer

(ICD and CPT blocks)

question

If NA

answer

leave blank

question

on claim

answer

NO paper clips, staples, tape

question

8 digit formats required for specific blocks even though form show 2 digit year block

answer

MM/DD/YYYY)

question

2 basic claim types

answer

electronic, paper

question

Electronic

answer

submitted directly to insurance company via telecommunication line. Never printed to paper

question

paper

answer

also known as hardcopy claim. Optically scanned by insurance company into electronic format

question

clean

answer

submitted within time limits and all necessary info to process claim is present. Physically clean claim: bar code area not deformed, form not folded, torn, highlighted, stapled, wrinkled or smudged

question

pending

answer

claim held in suspense by insurance company in order to review or additional information may be required to process claim

question

rejected

answer

claim has not been processed. Requires investigation and clarification

question

Medicare has several different definitions which are

answer

incomplete, invalid, dirty, deleted

question

incomplete

answer

Claim missing required information

question

invalid

answer

Medicare claim that contains information that is complete and necessary but is illogical or incorrect

question

dirty

answer

Claim that needs manual processing because of errors or to solve a problem

question

deleted

answer

Claim that is canceled or voided if incorrect claim form is used or itemized charges are not provided

question

File a claim on all patients even though you think there is no coverage

answer

If the patient has 2 insurances will have to provide the denial from the 1st company to get payment from the 2nd company

question

Patient does not have to sign blocks 12 and 13

answer

Sufficient to put SIGNATURE ON FILE or SOF. Must have the forms that the patient signed if requested by insurance company to produce signature forms (release of information and assignment of benefits). For a MC patient: by law must keep authorizations for 72 months (6 years). It is a federal violation if you list "signature on file" on the claim form and provider records do not include the signature form

question

Block 21 (ICD):

answer

Limited to 12 codes

question

Service Dates

answer

CANNOT use ditto marks for same date of service on separate lines . Must write out full dates. Can group visits if:

question

POS: block 24B See text page 241 for these 2 digit codes. Will use for ALL insurance types. Most common will be

answer

11 Office 21 Inpatient hospital 22 Outpatient hospital 23 Emergency department - hospital 24 Ambulatory Surgical Center (ASC)

question

DO NOT SUBMIT CLAIMS FOR A NO CHARGE

answer

unless it is for a capitated plan or if requested to do so by the insurance company

question

Block 25:

answer

EIN. Will rarely use SS#. In cases where the physician is a solo practitioner and includes his/her practice income on their tax return would use SS#. Not a good thing to do so will only rarely see. Need to set practice up as a business entity to protect personal assets from potential malpractice claims. All business entities apply for an EIN and will file taxes under this separate business number

question

Block 24J will use an NPI of rendering physician

answer

if physician works in a group practice will identify which physician in the group provided services listed in Block 24; Block 33 will use a group number if a physician bills as a group or if a solo practitioner will use their NPI.

question

Rarely do physician's have to actually sign Block 31

answer

Sufficient to have physicians name listed

question

DO NOT HAVE TO PUT YOUR INTITIALS ON THE COMPLETED INSURANCE FORM

answer

Easy enough to identify the person who did the billing through management reports if billing is computerized which most offices are

question

No one proofreads claims

answer

if there is a problem with a claim discovered during follow-up may print the claim so you can see what was transmitted electronically, or may look at paper claim to see if there is a error before resubmitting claim

question

Need to make sure that you obtain payment BEFORE you send records to requesting party

answer

There will be times that a check will accompany a request for medical information

question

ABSTRACTING FROM MEDICAL RECORDS

answer

ONLY provide information requested

question

Many companies may have a service come to your office to photocopy records (hardcopy records).

answer

Set up at your convenience. Will need to see the patient authorization form which needs to be current. May want to review the records prior to the record being photocopied to see that the record is in order and all information is in the record. It is easy to have portions of the record on different people's desk so that the record may not be complete.

question

Electronic Data Interchange (EDI)

answer

transmission of claims electronically for payment. Exchange of data in a standardized format through computer systems

question

Electronic Claims Submission (ECS):

answer

Standardized electronic format or code set utilized by all insurance companies. ASCA requires majority of providers to utilize ECS.

question

Advantages of ECS included

answer

no signature or stamp ?no postage ?no calling for unknown insurance carrier addresses ?no paper claim storage ?audit trail provided ?improved cash flow due to fast payment turnaround compared to paper claim submission ?reduced human error ?front end error capabilities - online error edit process

question

Most efficient to send claims in batches

answer

group of claims sent at the same time from one facility

question

Clearinghouse

answer

Also known as a third party administrator (TPA). Receives all electronic claims from physician offices, separates claims by company, performs edits, then transmits to the appropriate company. Many offices work with clearinghouses but office loses control by directing claims to another entity. Dependent on the TPA to have knowledge an ability to properly transmit claims. Attractive to smaller offices to do "1 stop shopping" where they only transmit to 1 place vs multiple transmissions to various companies. See pages 266-267: clearinghouse process and advantages

question

HIPAA Transaction and Code Sets (TCS

answer

Whether or not a provider transmits health information in electronic form in connection with a transaction covered by HIPAA will determine whether a provider is considered a covered entity. See Chapter 2 for review of covered entities. Provider not considered a covered entity under HIPAA under 2 conditions: see page 269. Also see page 268: Table 8-1 and 2

question

Carrier direct system

answer

Medical practice has computer and software, keys information directly into the system and transmits information directly to insurance company. When transmitting electronic claims, must sign an agreement with each individual company before transmitting claims. Is a lengthy document (around 20-25 pages) requesting specific information about the physician or if applicable the group. Medicare will provide software and training for electronic submission.

question

Need to check for peak times when submitting claims electronically to avoid "traffic jams

answer

Static on the line can result in rejected claims

question

Covered entity

answer

Who is considered a covered entity and who is not. Importance in relation to HIPAA

question

Who must submit claims electronically

answer

Medical diagnoses, and precedure, drugs, physician services and medical suppliers

question

what is 5010

answer

electronic claims submission. Providers, payers , and

question

what is 837p

answer

The standard transaction that replaces the paper claim form and more than 400 version of the ENSF

question

EIN numbers - why do you need to use? Assigned by IRS

answer

tomidentify employer for tax purpose rather than inputting the actual company name when submitting claims.

question

Practice Management System:

answer

A/R most important function. NPPs - see pages 276-77

question

Scannable encounter forms

answer

dos and don'ts - see pages 279-280

question

ERAs: see page 282

answer

An online transaction about the status of a claim It gives information on charges paid or denied similar to the remittance advice for paper claims, except that the ERA offers additional information and administrative efficiencies

question

Transmission Reports

answer

Examples and advantages to the reporting - see pages 285-287. Solutions to electronic processing problems - see page 288

question

Make sure to back-up copies on a frequent regular basis

answer

Back-up copies to be stored away from the office in case of flood, fire, or theft within the office. Many companies provide storage facilities for backups. I ran a backup every day and had someone take the backup copies home. They would alternate backup tapes for the week. Storage facilities can be used for monthly and annual backups. Data storage and disposal: see pages 292-93

question

Major Advantage to billing electronically is faster payment

answer

Will usually receive payment in about 2 weeks or less compared to 4 weeks if submitted on paper. Improved cash flow the result. Also have an automatic audit trail - get an immediate printout showing what claims were transmitted and associated total dollar amount. Have documented proof that "x" claims were received by the company so they can't tell you they never received or that the claim was lost. ECS also includes an error edit process (front end audit). Software can be designed to stop certain claims from transmitting if required information is missing or incorrect. Will "kick out" when transmitting so errors or omissions can immediately be corrected and claim retransmitted. If paper claim sent with errors or omissions will not know for about 1 month, will have to correct and resubmit holding up payment for at least 2 months.

question

There are multiple medical software programs but they all are similar from an input standpoint

answer

Reporting capabilities widely differ among the systems. See pages 293-294 for what needs to be considered when selecting an office computer system

question

Large percentage of reimbursement in physician office generated from 3rd party payors

answer

Largest dollar amounts are paid by insurance companies and greatest control over the ability to receive payment comes from these payors. Crucial to understand how to collect insurance monies to keep cash flow coming into the practice.

question

When insurance companies do not pay in a timely manner effect on practice is decreased cash flow

answer

available cash to practice)

question

EOB (explanation of benefits

answer

attached to the insurance check (also known as voucher). EOB itemizes the payment received. Can be as simple as 1 patient listed but will predominantly see EOB's that have multiple patients listed on one (1) EOB. See Handouts EOB1, EOB2, and MC EOB for examples of EOB's.

question

Even though patients sign assignment of benefit statements there are some insurance companies that will send the insurance check to the patient

answer

When you are working you will become familiar with the companies that have this policy (there are few). If the insurance company sends the check to the patient you will have to bill the patient and hope they will send the check to you. IT IS NOT THE INSURANCE COMPANY'S RESPONSIBILITY TO RECOVER PAYMENT FROM THE PATIENT as stated in your text. If you know a particular insurance company will send payment to patient bill patient immediately.

question

If you are overpaid or paid in error, cash the check and notify insurance company

answer

They will request payment back and you can then send the company a check - never refund in cash and always have an audit trail. Make sure you send a refund check as soon as insurance company requests otherwise the company will "take back" the payment in a subsequent check. When they take back payment they do not tell you which patient(s) account(s) they are taking back from and this ends up as an accounting nightmare for the physician office since you don't know which accounts to debit/credit

question

No standardized EOB format as you can see from the EOB Handout examples

answer

Basic information will be listed but will have to look for it in different places. Whenever in doubt, call the insurance company for detail

question

On receipt of a check and EOB, post payments and adjustments to each patient's account

answer

You must reconcile each EOB

question

See pages 304-313 for types of claim problems you may encounter. IMPORTANT that you understand the problems/solutions

answer

Must always identify why payment not received and pinpoint the source of the error so that it can be corrected.

question

Must have a tracking mechanism set up to follow-up on claims

answer

See page 82 (Figure 3-18) in your text for review of the Insurance Claims Register. No set way to follow-up claims. Set up some type of tracking system, tickler, computer generated reports. Insurance claims should be filed chronologically in a pending file according to DOS (date of service). DOS best way to file pending insurance claims for timely follow-up. Run reports on a regular basis (daily or weekly) to identify all unpaid claims and follow-up with insurance company for payment.

question

MUST KNOW PAYMENT TIME LIMITS FOR EACH INSURANCE COMPANY

answer

Will be listed in insurance contract. If you do not submit claim within these time limits (usually 60-90 days) the insurance company will not pay you and state the reason as "untimely filing". You can appeal, but doubtful you will be successful in collecting payment. CANNOT RECOVER PAYMENT FROM THE PATIENT. Will have to write off the amount as uncollectible. Time limits stated in individual health insurance policies about an insurance companies obligation to pay benefits are different for all insurance companies. The only company that I am aware of in TN that will pay after the time limits is Medicare. They will pay but at a reduced rate and only for a short period of time.

question

If an insurance carrier requests information about another insurance carrier (usually to identify COB) provide the information

answer

Don't leave it up to the insurance company to coordinate benefits or leave up to patient to follow-up. Patients not usually very good at follow-up

question

Claim inquiries may be in writing or by telephone

answer

Inquiry also known as a tracer or follow-up. Made to an insurance company to locate the status of an insurance claim or to inquire about payment determination shown on the EOB. Many insurance companies have computer or teledigital response systems that greatly speed up inquiry/response time. This is your best option if available.

question

Insurance companies lose many claims

answer

Ask if there is a backlog of claims (they may not be honest) and expected turnaround time. Verify mailing address and resubmit the claim. I suggest following up within 1 week to verify receipt. If possible fax claim and verify receipt that day. If you have problems with a particular company contact the insurance commissioner.

question

If claim is suspended or denied need to determine the problem causing the delay or nonpayment

answer

Cannot simply change information on the claim and resubmit. See pages 308-310 in your text for possible denial reasons

question

Rejected claims

answer

Can add missing information or complete information requested and resubmit a corrected claim for payment. See page 307-308

question

State Insurance Commissioner: See page 324-325

answer

Add the following type of problem that should be submitted to the Table on page 306 (Types of Problems): If payment problem develops with an insurance company and the company ignores claims and exceeds time limits to pay a claim. ? Requests must be in writing. ? Insurance companies rated according to the number of complaints received about them. Think of it as the Better Business Bureau of insurance companies.

question

See pages 313-324. Table 9.2 (page 316) lists the 5 levels for Medicare Appeal (redetermination process

answer

Review table on page 316 for levels and time limits to request review and also amount in controversy. IMPORTANT! For example if you have a claim amount of $90 you will not be able to appeal after the HO level reconsideration - level 2) because the AIC (amount in controversy) is less than $130. If you have a claim amount of $900 you can appeal up to the 4th level as the last level's AIC is $1350 or greater.

question

REVIEW AND APPEAL PROCESS

answer

Appeals can be in writing only

question

Appeal is a request for payment by asking for a review of an insurance claim

answer

See page 315 for reasons. You will frequently see appeals for preexisting conditions as well as medical necessity. You do not automatically file an appeal when you have payment denial. YOU MUST FIRST DETERMINE THE REASON FOR THE DENIAL. Many denials will only require that you correct information and resubmit the claim; others may only require additional information before payment is received

question

If appeals not successful may want to proceed to next step which is peer review (reconsideration level 2 in your text

answer

Examination by a group of unbiased practicing physicians who judge the effectiveness and efficiency of the professional care rendered.

question

PATIENT COLLECTIONS

answer

Large percentage of reimbursement to physician offices generated from third party payers (insurance companies

question

Guarantor:

answer

individual responsible for payment who may not be the patient

question

Bill sent to patient known as a statement

answer

An itemized statement shows all charges, payments, and adjustments, dates of service, and dates claims submitted to the insurance company. A patient ledger/account will also show the same information. See page 360 and 369 in text for example of a patient statement

question

patient visit

answer

Make sure patients are aware of your billing/collection policies which can be explained at the 1st visit, through a "Welcome Letter" or practice pamphlet.

question

Learn as much as possible about the patient before services are rendered

answer

Patient will be most cooperative at this time

question

Information provided on patient information sheet critical to billing and collection efforts

answer

Look for clues to a nonpaying patient - see page 333

question

Have 1 person handle all billing questions to ensure a consistent patient response

answer

After statements go out, practice will always experience an increase in phone calls

question

Medical practices operate with a set of fees that must be applied to

answer

ALL patients in the practice uniformly

question

When a physician offers a discount it must apply to

answer

the total bill not just the patient portion

question

All discounts to be noted on the patient's ledger and financial reasons or special circumstances

answer

documented in the medical record

question

Cash discounts may be offered to patients who pay the entire fee in cash at the time of service

answer

Some states do not allow cash discounts. Can do in the state of TN

question

Professional courtesy

answer

No charge to anyone (patient or insurance

question

Do not give patients an option to pay by

answer

asking if they want to pay now or to be billed

question

Goal of any collection effort

answer

is to try and collect full amount

question

Return checks

answer

check to see the reason why. Most often will be NSF. Call the bank to check for funds. Fridays good day to send through again

question

Effectiveness of working a practice's A/R is reflected in the practice's cash flow

answer

Cash flow is the ongoing availability of cash in the medical practice. Ideally outstanding balances should be paid within 60 days. This does not happen in medical practices. See pages 332 and top of 333 - 5 points regarding why this is not possible.

question

A/R

answer

is the total of all charges for all patients that have been posted to patient accounts that have not been collected (monies that are due to the practice

question

Age analysis arranges the A/R by age from the DOS

answer

Look at the bottom of the patient statement on page 369 in your text. The bottom of the statement is an age analysis: current, 30-60 days, 60-90 days, 90-120 days, and over 120 days. Accounts are ages in time periods of 30, 60, 90, and 120 days and older. Computerized offices are able to run reports routinely to show an age analysis. These reports are important because they help with collection follow-up by showing overdue accounts and the total dollar value of those accounts. Important to collect all monies due you as soon as possible to ensure that the practice has good cash flow (monies available to the practice to pay their bills and salaries

question

Must monitor the A/R regularly to determine the medical practice's financial solvency

answer

Will be able to evaluate the effectiveness of the collection process. Ideal is to have all your monies in the 90 days or less categories. Once accounts become older than 90 days it is more difficult to collect on those accounts. Accounts that are 90 days or older should average between 15-18% of the total A/R.

question

An average total A/R should equal 1.5 to 2.0 times

answer

the charges for 1 month of services (see page 346 for example of A/R formula).

question

Collection ratio is the relationship of the money owed to a practice and the amount of money collected

answer

Goal should be 90-95%.

question

Dun Messages are used on billing statements to promote payment (which is questionable how effective these are since most patients don't really look at these).

answer

Handwritten notes on statements ARE effective. Dun messages are usually printed by the computer system and are predetermined by the aging. If the account is 30 days old you may have a message such as the 2nd example on the bottom of page 347; 60 days old may have a message such as #3. Look at the Dun Messages examples on page 347. Dun messages also listed on statement on page 336 - Figure 10.3

question

Small offices may do manual billing which may be as simple as a copy of the patient ledger

answer

Most offices do computer billing. Accounts are automatically aged, message printed on statements, and billing can be set to print all billing statements according to specific accounts, dates, or insurance types.

question

Many offices "outsource" their billing to a billing service

answer

Services can do any or all of the following: prepare statements, mailing of statements, preparation and follow-up of 1500's, tracking of payments (patient and insurance), collections. Many practices will outsource patient collections.

question

Monthly Billing

answer

All statements mailed at the same time once a month

question

Cycle Billing

answer

Statements mailed at spaced intervals. Can be determined by account number, alphabetically, DOS, or insurance type. Allows for continuous cash flow and helps with incoming calls - calls will be received a few days after statements are mailed. If statements are mailed several times per month this will help decrease the amount of calls per week. Can send statements once a week or twice a month.

question

Look at Collection tree page 346

answer

1st statement to patient at time of service (which can be handing the patient an itemized superbill), 2nd statement in 30 days, 3rd statement in 60 days. Can call the patient to try to collect on an account AFTER no response from the 3rd statement. Important to give the patient their 1st statement at time of service to help increase the time frame to call patient if necessary.

question

Credit card billing

answer

refunds on credit card payments MUST be made by credit card not check or cash.

question

Regulation Z

answer

requires full written disclosure regarding the finance charges for large payment plans involving FOUR OR MORE INSTALLMENTS, excluding the downpayment. Does not apply if payment in one sum or drawn-out partial payments. See Figure 10-7 page 341 and page 350 - payment plans

question

Have a written payment plan signed

answer

by the patient

question

Patients think they can make any payment amount so that physician will not take action against them but physicians can take action including sending the account to a collection agency.

answer

Cannot refuse an immediate appointment of an established patient because of a debt. Should take advantage by asking for payment when the patient comes to the office. If a physician continues to treat a patient with an overdue account, courts have viewed this as a continuation of care and an extension of credit.

question

Look at A/R by age and target the accounts that are in the 60 to 90 day category

answer

Start with the largest amount owed and work the accounts in decreasing order according to dollar value.

question

Call patient day before patients due

answer

for their appointments

question

Collection Agencies

answer

Delinquent accounts should be turned over to a collection agency only after all reasonable attempts have been made by the physician's office to collect. May also want to target certain accounts that practice may not be successful at collecting such as self pay patients, skip traces

question

Equal Credit Opportunity Act

answer

Is a federal law which prohibits discrimination in all areas of granting credit

question

Fair Credit Reporting Act

answer

regulates agencies that issue or use credit reports on consumers

question

Fair Credit Billing Act

answer

Patient has 60 days from the date a statement is mailed to complain about an error from the date that a statement is mailed

question

Fair Debt Collection Practices Act Guidelines: See Table page 353

answer

Regulates collection practices of third party debt collectors and attorney who collect debt for others

question

Bankruptcy

answer

When patient files can no longer send statements, make calls, or attempt to collect on the account. Can only contact the patient regarding their attorney

question

MEDICARE ACCOUNTS MAY NOT BE WRITTEN OFF UNTIL SEQUENTIAL STATEMENTS HAVE BEEN SENT WITH AN INCREASING INTENSITY IN THE COLLECTION MESSAGE

answer

AND A GENUINE COLLECTION EFFORT HAS BEEN MADE

question

Bond

answer

Position-schedule , blanket position and personal

question

Electronic data interchange (EDI)

answer

exchange of data in a standardized format through computer system

question

Benefits of using HIPAA

answer

1. More reliable and timely processing quicker reimbursement from payer 2. Improved accuracy of data 3.easier and more efficient access to information 4. Better tracking of transactions 5. Reduction of data entry and manual labor 6. Reduction in office expenses

question

Appeal

answer

a require for payment to a third- party payer asking for a review of an insurance claim that has been denied

question

Name 5 levels for appealing a Medicare claim

answer

1.redetermination ( telephone, letter, or CMS- 20027 form) 2. Hearing officer (HO) hearing reconsideration 3.Administrative law judge (ALJ) hearing 4. Departmental appeal board review 5. Judicial review in the U.S. District court

question

Age analysis

answer

the procedure of system arranging the account receivable , by age , from the date of service

question

Dun message

answer

A written statement included on a patient bill to promote payment

question

The 1 st statement should be presented to the patient

answer

At the time of service

question

When setting up payment plan, the insurance specialist should adhere to the rules set forth in the

answer

Federal truth in lending act

question

When making a collection telephone call , your goal should be to

answer

Encourage the patient to pay and negotiate if necessary

question

Collection calls should be placed

answer

After 8 am and before 9 pm

question

If a patient has declared bankruptcy, the physician office should

answer

Not call the patient regarding bill collection Not send the patient any more statement Not attempt to collect on the account

question

If a claim is billed with two lines of service and insurance carrier pays on online and other is rejected for incomplete information what should the insurance specialist do?

answer

Complete new 1500 claim form for the rejected service only, include documentation , and indicate resubmission in block 19

question

Which of the following insurance problem should be submitted to the insurance commissioner

answer

Delay in settlement of a claim , after proper appeal has been made

question

When efforts to resolve denials or underpayment issue from insurance companies have not been satisfied, the next step is

answer

Appeal the claim

question

The format for an explanation of benefit document is

answer

Nonstandardized

question

An EOB document may contain information for more than one

answer

Date of service Line service Patient

question

If a patient dies owing a balance the practice should

answer

File a claim as a creditor of the patient estate

question

When physician offers a discount it must apply to the total bill not just the portion paid by patient

answer

True

question

The EOB breakdown how payment was determinate

answer

True

question

If payment is delayed on a claim and you have rechecked and make sure that claim was sent , rebill the claim

answer

False

question

If payment have not been assigned, payment usually goes to patient

answer

True

HCM2600 TEST2 chapter 7-10

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