If a claim is denied due to lack of medical necessity, the provider must refund any payment made by the carrier and can bill the patient for the balance.
Correct Answer:
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Q40: In regard to the RBRVS system, the
Q41: The section of the EOB that summarizes
Q42: A percentage of a provider's payment that
Q43: Physicians have the right to establish their
Q44: The Medicare conversion factor to be used
Q46: When the practice receives the EOBs and
Q47: A claim that is manually reviewed by
Q48: The set amount a patient must pay
Q49: A provider's usual charge for a service
Q50: The section of the EOB that indicates
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