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Explain how technology and human error may contribute to a denial by the insurance company.
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- Discuss how guaranteeing the privacy of medical records has proven more difficult.Why do insurance companies practice things like restricting provider choice, gatekeeping, and pre-authorization?Describe how health insurance participation may or may not contribute to a denial and how can it be communicated with the insurance company when filing an appeal.
- Discuss Possible legal,ethical and disciplinary implications of false documentation.Describe a brief statement of the issue/problem about cyberattacks in healthcare and the purpose of implementing a program, and its impactThis new system will need to rely on BLANK technology so it can analyze extensive documentation to identify and rate the relevance of verbiage specific to health insurance compliance concerns. A. NLP B. CBR C. Forward chaining D. Backward chaining.
- What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?describe the difference between primary, secondary, and supplementary insurance. Do you feel having secondary and/or supplementary insurance is a benefit for the patient or more trouble than it is worth? Explain your answer.Who would be impacted by such events claims production and claims submission in healthcare?
