NURSING ANM AND GNM

NURSING EXAM QUESTIONS

HEALTH INFORMATICS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The procedure for submitting costs for medical services so that payment can be collected or denial can be determine
A
communication
B
claims process
C
etiquette
D
medical record
Explanation: 

Detailed explanation-1: -Fill cashless request form at the hospital. Submit the form and medical records to TPA. TPA will inspect all the documents. Once approved, the insurance company will settle the hospital bills, which excludes phone charges, attendant charges, food etc.

Detailed explanation-2: -Charges for the services rendered are specifically entered in the sheet before claiming from insurance company. Patient’s medical records are clearly monitored and charged with an appropriate value. The charges entered will be claimed by the medical billing company with insurance for reimbursement.

Detailed explanation-3: -What is medical coding? Medical coding is the process of taking a patient’s health care information like medical procedures, diagnosis, necessary medical equipment, and medical services information from the physician’s notes. A medical coder transforms this information into universal medical alphanumeric codes.

There is 1 question to complete.