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
Coracoid process
Styloid process
The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve
Activation of the Primary Gustatory Cortex by Taste Stimuli
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Basic process of metabolic profiling