Part III True$/$False

Write $"T"$ or $"F"$ in the blank to indicate whether you think the statement is true or false.

$31.$ An insurance billing specialist's primary goal is to assist in management of the revenue cycle.

$q,32.$ A patient's insurance card specifies the detailed benefits and coverages.

$q,33.$ All health insurance companies are obligated to reimburse health care organizations promptly for services rendered. $q,34.$ The elements within a remittance advice $($RA$)$ document and an explanation of benefits $($EOB$)$ document are different. $q,35.$ There is a standard format for EOB forms that all carriers are expected to follow.

$q,36.$ Due to issues concerning timely filing, it is wise to be aggressive on claims that are outstanding for more than $30-45$ days.

$37.$ Information collected at the front desk does not impact denials.

$38.$ One of the criteria for a service to be considered medically necessary is that the service must be in accordance with the generally accepted standards of medical practice.

$39.$ If any insurance carrier has downcoded a claim, thereby reducing reimbursement, there is no other recourse than to write off the balance.

$40.$ If a claim has not been paid within a reasonable amount of time, the most effective follow$-$up method is to simply rebill the claim.