Billing & ClaimsCâu 49 / 100
Timely filing limits refer to:
a.The deadline by which a claim must be submitted to the payer to be considered for payment
b.The time a provider has to see a patient
c.The number of days a patient has to pay a bill
d.The waiting period before coverage begins
Giải thích
Each payer sets a timely filing limit, the maximum time after the date of service within which a claim must be received. Claims submitted after the deadline are typically denied, and the balance often cannot be billed to the patient. Tracking these limits is essential to avoid preventable revenue loss.
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Câu hỏi liên quan cùng chủ đề
- TRICARE is the health program that covers:
- Coordination of benefits (COB) is the process used to:
- Under the 'birthday rule' for coordinating benefits on a dependent child covered by both parents' plans, the primary plan is generally the one belonging to the parent whose:
- On the CMS-1500 form, the National Provider Identifier (NPI) is used to:
- The electronic equivalent of the paper CMS-1500 professional claim is the:
- Prior authorization (precertification) is:
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