A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to

a. assigning ICD-10-CM and CPT codes.
b. billing patients for copayments and coinsurance.
c. determining medical necessity of services/procedures.
d. resubmitting denied claims to health care providers.


c

Health Professions

You might also like to view...

Fingerprints are ________ that form a pattern and help prevent slippage when grasping objects

A) anhidrosis B) STDs C) friction ridges D) DNA

Health Professions

________ has the task of overseeing the adoption and meaningful use of EHRs, setting standards, and judging the impact

A. ARRA B. The Congress C. The President D. ONCHIT

Health Professions

Which term describes bacteria that grow only in the absence of oxygen and are usually responsible for wound infections?

A) E. coli B) Aerobic C) Staphylococci D) Anaerobic

Health Professions

A(n) _____ is a word created from an abbreviation.

A. synonym B. acronym C. eponym D. abbreviation

Health Professions