Billing & Claims第 53 / 100 题

Verifying a patient's insurance eligibility before the visit helps to:

a.Confirm active coverage and benefits, reducing the risk of denials
b.Increase the provider's fee schedule
c.Change the patient's diagnosis
d.Eliminate the need for coding

解析

Eligibility verification confirms that the patient has active coverage, identifies the plan's benefits, and reveals copay, deductible, and authorization requirements before services are rendered. Doing this upfront prevents avoidable denials and helps collect patient responsibility. The HIPAA 270/271 transactions support electronic eligibility inquiries and responses.

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