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Part I: Avoid claims rejections
A payer may delay or deny payment because of inaccurate or missing information in a submitted claim. Many contracts require payment within a specified period of time, for example, 30 days from submission of a "clean claim." How can healthcare service providers avoid claims rejections?
Part II: Ensure payment
The Medicare intermediary has returned a claim to a hospital because of an invalid diagnosis code (OCE-Outpatient Code Edit violation number one). This implies that the procedure performed is not supported by the diagnosis code. What action can the provider take to ensure payment?
The firm terminates Steven so that they can put the old secretary back in her job. Steven asks you what you think he should do. What do you say?
Spencer Inc. has the following information for the current year: Net income = $600; Net operating profit after taxes (NOPAT) = $500; Total assets = $4,000.
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Each coffee table produced by the Timothy Kent Designers nets firm profit of $9. Each bookcase yields a $12 profit. This post describes how to find out the objective function for maximizing total profits and provides the answer.
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Northwest Hospital currently buys surgical gloves in lots of 1,500 boxes once every four months. Under this ordering policy, demand for gloves will be completely satisfied with no surplus and no shortage.
What is the yield to maturity for an SWH Corporation bond on January 1, 2006 if the market price of the bond on that date is $1,035?
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