What Is the First Key to Successful Claims Processing

question 48

Multiple Choice

What is the first key to successful claims processing?

• A) Obtaining necessary preauthorization
• B) Collecting and verifying patient information
• C) Following payer guidelines
• D) Proofreading to avoid errors

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Definitions:

Consideration

A value that is exchanged between parties in a contract, making the agreement legally binding.

Promissory Estoppel

A legal principle that prevents a party from withdrawing a promise made to another party, if the latter has reasonably relied on that promise to their detriment.

Hamer v. Sidway

A landmark case in contract law regarding forbearance as consideration, where a promise not to do something can be as legally binding as a promise to do something.

Unforeseen Circumstances

Situations or events that could not have been predicted or expected, often leading to disruptions in agreements or plans.