« previous next »

Author Question: Which of the following is a step in a second opinion process? a. A request is made by the claims ... (Read 20 times)

RYAN BANYAN

  • Hero Member
  • *****
  • Posts: 563
on: Jun 27, 2018
Which of the following is a step in a second opinion process?
 
  a. A request is made by the claims examiner for a second opinion.
  b. The patient's chart remains private from the second opinion doctor.
  c. An internal review is done.
  d. All records are forwarded to the MCP's chief medical officer for a determination.

Question 2

All of the following are part of processing an MCP claim EXCEPT:
 
  a. Checking the member's eligibility
  b. Checking the member's contract
  c. Determining financial responsibility
  d. Assuring a second opinion


heinisk01

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jun 27, 2018
Answer to Question 1

C

Answer to Question 2

D


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

An overview of the process of primary and secondary growth in a woody stem. An overview of the process of primary and secondary growth in a woody stem.
Rinne test: A. Place the base of the tuning fork on the mastoid process. B. Place tuning fork in fro Rinne test: A. Place the base of the tuning fork on the mastoid process. B. Place tuning fork in fro
Ovulation process Ovulation process
Comparison of Steps of the Nursing Process with the Research Process Comparison of Steps of the Nursing Process with the Research Process
Five step nursing process Five step nursing process
The process of phagocytosis: a phagocyte engulfing bacteria or other foreign material. The process of phagocytosis: a phagocyte engulfing bacteria or other foreign material.
Video: Stroke volume - preload, sarcomere length and Frank -Starling law

For a complete list of videos, visit our video library