A Claims Examiner Employed by a Third-Party Payer Reviews Health-Related

question 22

Multiple Choice

A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to

• A) assigning ICD-10-CM and CPT codes.
• B) billing patients for copayments and coinsurance.
• C) determining medical necessity of services/procedures.
• D) resubmitting denied claims to health care providers.

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Definitions:

Excise Tax

An excise tax is a specific tax levied on the sale of certain goods and services, such as alcohol, tobacco, and fuel, usually with the aim of discouraging their use or raising government revenue.

Demand Elasticity

A measure of how much the quantity demanded of a good changes in response to a change in the price of that good.

Sales Tax

Sales tax is a government-imposed levy on the sale of goods and services, paid by the purchaser at the time of sale.

Excise Tax

A tax charged on specific goods and services, such as tobacco, alcohol, and fuels, often intended to discourage their use or generate revenue.