Medicare will award an assigned claim conditional primary payer status and process
the claim when a __________.
a. patient who is physically or mentally impaired files a claim with the primary payer
b. plan considered primary to Medicare issues a denial of payment that is under appeal
c. liability payer responds by processing a submitted claim within 120 days of filing
d. workers' compensation claim has been approved and the provider reimbursed
Question 2
A Medicare medical necessity denial is a denial of otherwise covered services that were found to be not __________.
a. cost effective and necessary
b. in compliance with critical pathways
c. necessary and frequent
d. reasonable and necessary
The respiratory system. (a) Sagittal section of the head and neck, revealing the organs of the upper
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Example of a Medicare Electronic Remittance Advice (ERA).
Ekman’s six primary facial expressions of emotion and one combination facial expression. ...
Basic process of metabolic profiling
The communication process