When a patient's health insurance plan supports the ability to check electronically the amount of copayment a patient will be responsible for and the amount of payment the insurance company will make; this is known as:
A) ?real-time assessment
B) electronic eligibility
C) real-time adjudication
D) electronic funds transfer
C
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A 60-year-old patient visited his general practitioner because of fatigue and unexplained bruising. Physical examination revealed a frail, thin, pale man with widespread bruising
A CBC was ordered and revealed abnormal granularity of platelets and leukocytes. Red cells appeared dimorphic. Bone marrow analysis showed 20% ringed sideroblasts with dysplastic changes in RBC and WBC precursors. No cytogenetic abnormalities were detected. Based on this information, what is a probable diagnosis? a. Acute leukemia b. Chronic lymphocytic leukemia c. Myelodysplastic syndrome d. Myeloproliferative syndrome
Which of the following would not represent a disadvantage for electronic claims submission through EDI?
A. power outages B. need for a backup system C. does not comply with HIPAA D. computer hardware/software problems