ReimbursementCâu 75 / 100

A provider bills $2,000 for a service. The payer's allowed amount is $1,200, and the provider is a participating (in-network) provider. What is the contractual adjustment (write-off)?

a.$800
b.$1,200
c.$2,000
d.$400

Giải thích

A participating provider agrees to accept the payer's allowed amount as payment in full, so the difference between the $2,000 billed charge and the $1,200 allowed amount, which is $800, is written off. The patient cannot be balance-billed for that contractual adjustment. Only the deductible, copay, or coinsurance based on the $1,200 allowed amount may be collected from the patient.

Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.

Câu hỏi liên quan cùng chủ đề

Cập nhật gần nhất: · quy trình kiểm tra

Đội Ngũ Biên Tập PrepPass · Đối chiếu với NHA Certified Billing & Coding Specialist (CBCS) Exam · Quy trình kiểm tra
Báo lỗi