Ophthalmic Coding Specialist Study Questions

Category - Opthalmological Coding Certification Practice Test

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Which of the following is always the payer of last resort?

Medicare
Medicaid
Worker’s Compensation Insurance
Commercial Insurance

Explanation

Answer: B - Medicaid is always the payer of last resort. This means that if a patient has more than one type of insurance coverage, and one of the insurances is Medicaid, then the biller must bill the other insurance first and Medicaid second. Medicaid will never pay first, if the patient has more than one type of insurance coverage.

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