What are void claims, types of Medicare, types of denials, OI types.

Question

Accepted Answer

I am Risvana,from ukkadam,l have last 3 years experience in cognizant.I have completing my bachelor of degree in dr SNS Rajalakshmi college of arts and science.I have one sibling my father was recently diad, My mother is house wife,my sister is working pharmacists in rex ortho hospital,I am married,My husband is auto driver and I have one daughter.

Accepted Answer

Void Claims: Claims that are canceled or nullified after submission due to errors, incorrect patient information, duplicate submissions, or compliance issues.

Types of Medicare:

Part A: Hospital insurance (inpatient care, hospice, etc.).
Part B: Medical insurance (doctor visits, outpatient care, preventive services).
Part C (Medicare Advantage): Alternative plans offered by private companies, covering Parts A and B, often including additional benefits.
Part D: Prescription drug coverage.
Types of Denials:

Technical Denials: Errors in submission, missing/incorrect information.
Clinical Denials: Lack of medical necessity, failure to meet criteria.
Administrative Denials: Authorization issues, eligibility problems, coverage limits.
Duplicate Denials: Claim already processed.
Other Insurance (OI) Types:

Primary: Insurance billed first.
Secondary: Insurance billed after the primary processes the claim.
Tertiary: Insurance billed after both primary and secondary insurances.

What are void claims, types of Medicare, types of denials, OI types.

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