Question: 1. Why are the charge and allowable charge different amounts? Explain your answer in technical terms and then explain your answer in laymans terms. 2.
1. Why are the charge and allowable charge different amounts? Explain your answer in technical terms and then explain your answer in laymans terms.
2. Differentiate between the contractual adjustment and the charge. Explain your answer in technical and non-technical terms.
3. If the procedure on line 4 was denied by the payer for incorrect coding, how would the benefit payment change? What are the revised benefit payment and coinsurance amounts?
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