This topic contains a solution. Click here to go to the answer

Author Question: When a procedure is performed more than the allowable number of times for the patient's condition, ... (Read 146 times)

acc299

  • Hero Member
  • *****
  • Posts: 569
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
Answer to Question 1

Answer: c

Answer to Question 2

Answer: c





 

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

The term pharmacology is derived from the Greek words pharmakon("claim, medicine, poison, or remedy") and logos ("study").

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

For a complete list of videos, visit our video library