QUESTION IMAGE
Question
instructions: select the most appropriate response.
a voided claim is one that medicaid should not have originally paid, and results in a(n):
a. penalty to be paid by the provider to the third - party payer
b. deduction from the lump - sum payment to the provider
c. resubmission of a corrected claim to the payer
d. additional payment made to the provider by the payer
A voided claim is one that Medicaid should not have originally paid. When such a situation occurs, it results in a deduction from the lump - sum payment to the provider. A penalty paid by the provider to the third - party payer (option a) is not the typical result of a voided claim. Resubmission of a corrected claim (option c) is more about fixing an incorrect claim rather than being the direct result of a voided claim. An additional payment (option d) is the opposite of what happens with a voided claim.
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B. deduction from the lump - sum payment to the provider