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 181 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?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Providing patient education Providing patient education
Gram Stain Procedure Diagram Gram Stain Procedure Diagram
When the number of miles traveled is considered, drivers under 25 years of age and those over 70 are ... When the number of miles traveled is considered, drivers under 25 years of age and those over 70 are ...
How mitosis maintains the chromosome number. How mitosis maintains the chromosome number.
Copy-number variants Copy-number variants
Video: Glucose anabolism reactions: Glycogenolysis and Gluconeogenesis

For a complete list of videos, visit our video library