This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: When a procedure is performed more than the allowable number of times for the patient's condition, ... (Read 144 times)

acc299

  • Hero Member
  • *****
  • Posts: 569
on: Jun 27, 2018
When a procedure is performed more than the allowable number of times for the patient's condition, the claim can be denied due to:
 
  a. lack of clarity.
  b. fraud.
  c. being not medically necessary.
  d. insufficient information.

Question 2

When a diagnosis does not match the procedural code on a health care claim, it can be denied due to:
 
  a. lack of clarity.
  b. fraud.
  c. being not medically necessary.
  d. insufficient information.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

joneynes

  • Sr. Member
  • ****
  • Posts: 376
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: c

Answer to Question 2

Answer: c


acc299

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jun 27, 2018
Thank you :)


joneynes

  • Sr. Member
  • ****
  • Posts: 376
Reply #3 on: Jun 27, 2018
Happy to help you


« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio
A Patient Being Prepared for Electroconvulsive Therapy. A Patient Being Prepared for Electroconvulsive Therapy.
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
How to write any number in engineering notation How to write any number in engineering notation
Video: Stages of Mitosis - Prophase, Prometaphase, Metaphase, Anaphase & Telophase

For a complete list of videos, visit our video library