When interviewing a 70-year-old male with a headache, you ask him when the headache began. What should you do if he does not answer your question immediately?
A. Ask another pertinent question and requestion him later about the onset of the headache.
B. Remain patient and give him time to comprehend and answer your question.
Answer: B. Remain patient and give him time to comprehend and answer your question.
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Which of the following is an example of a health-system unit where patient profiling would NOT be effective?
A) Emergency Departments B) Oncology wards C) Nursing homes D) Hospices
If a lab bills for a general health panel but fails to perform one of the tests, it is guilty of which of these fraudulent coding and billing practices?
A. reporting services that were not performed B. reporting services at a higher level than was carried out C. performing billing for procedures that are not related to the patient's condition D. billing separately for services that are bundled in a single procedure code
Platelets come from cells called _______________ in red bone marrow.
Fill in the blank(s) with the appropriate word(s).
What does a qualified independent contractor (QIC) ensure regarding TRICARE claims?
A. that care was up to ethical medical standards B. that all claims be processed and paid C. that procedures have only one diagnosis code D. that services were medically necessary and appropriate