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Review the six situations located on the third tab of the downloaded spread sheet. Each situation is an unique service provided by a healthcare provider
Review the six situations located on the third tab of the downloaded spread sheet. Each situation is an unique service provided by a healthcare provider that will be reimbursed by a healthcare payer. In columns B through G for each situation, indicate with an X if the payer listed in each column will reimburse the provider for the healthcare service being provided. For example, for an "ICU stay billed to employee's insurance program," would Medicare, Medicaid, other public programs, patients, commercial insurance or managed care pay for this service? Indicate with an X if the payer would pay for this service. Remember, rows can have multiple Xs since multiple payers can reimburse for the same service
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