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 182 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?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

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?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
Renal calculi (stones) can form in several areas within the urinary tract. When they form in the kid Renal calculi (stones) can form in several areas within the urinary tract. When they form in the kid
The first mill operations performed only the task of spinning wool, cotton, and The first mill operations performed only the task of spinning wool, cotton, and
The patient's signature on the informed consent form indicates that the patient understands the The patient's signature on the informed consent form indicates that the patient understands the
(a) The low-resolution signal has the same number of pulses as the engine has cylinders. (b) A ... (a) The low-resolution signal has the same number of pulses as the engine has cylinders. (b) A ...
Video: Neural Reflex Arc Animation

For a complete list of videos, visit our video library