Describe the function of a billing clearinghouse.
What will be an ideal response?
With thousands of providers sending millions of claims to payers, the ability of some payers to develop an infrastructure capable of managing the volume can be challenging. One solution is an intermediary service called a billing clearinghouse. A clearinghouse validates the claims to ensure they are error free. When the claim meets this standard, it is securely transmitted to the specified payer over a secure connection in order to meet HIPAA standards.
You might also like to view...
For what reason may a hand-assisted access sleeve be used in a laparoscopic procedure?
a. To keep the surgeon's hands warm during the procedure b. To allow insertion of the surgeon's hand to palpate or grasp an organ c. To place pressure on a vessel that is bleeding d. To lose the peritoneum and convert to an open procedure
An 18-year-old female patient with a history of diabetes twisted her right ankle while playing volleyball. She is alert and oriented and states that the pain is excruciating. The primary assessment is complete and yields no life-threatening conditions. What should you do next?
A) Perform a head-to-toe exam B) Apply ice to the ankle C) Check her blood sugar D) Assess the right ankle and foot