CPB Certified Professional Biller Certification Practice Exam

Which organization works primarily with outpatient procedures and insurance coordination?

1. BCBS

2. AMA

3. ANSI

4. ASC

The correct answer is: ASC

The organization that primarily works with outpatient procedures and insurance coordination is the Ambulatory Surgery Center (ASC). ASCs are specialized healthcare facilities that focus on providing surgical services to patients who do not require an overnight hospital stay. Their operations are closely linked to outpatient procedures, making them pivotal in coordinating with insurance for pre-authorization, billing, and reimbursement processes. The other organizations mentioned serve different roles within the healthcare system. Blue Cross Blue Shield (BCBS) is a health insurance provider, while the American Medical Association (AMA) is a professional association that focuses on physician interests and advocacy. The American National Standards Institute (ANSI) primarily develops standards for various industries, including healthcare, but does not focus on direct patient care or outpatient procedures. Therefore, the ASC is the most relevant answer regarding outpatient procedures and insurance coordination.