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
A hypothetical model of the process of cell-wall expansion.
The process of clot formation.
Primary factors affecting blood pressure
Preventive and Primary Care Services
Example FICA and Medicare deductions.
An example of identification and analysis of conditional alleles