The process of reviewing claims to determine payment is called
A. confirmation.
B. code linkage.
C. adjudication.
D. fraud check.
Answer: C
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Which legislation outlines patients' rights to health care?
A) HIPAA B) OSHA C) Advance directive D) none of the above
All of the following statements about the pediatric airway are true EXCEPT:
a. the tongue is larger in relation to the oropharynx than in adults. b. the glottic opening is lower and more posterior than in adults. c. the epiglottis is floppy and round. d. the narrowest part is the cricoid cartilage.
An advantage of prenatal diagnosis by genotypic analysis for hemophilia over phenotypic analysis is:
a. ABO blood type does not affect the analysis. b. A chorionic villus biopsy can be tested at 4 weeks gestation. c. Direct DNA diagnosis is available for all families. d. It can be done as a point-of-care test.
Hospitals must submit electronic claims for Medicare Part A reimbursement to MACs using the HIPAA health care claim called
A. CMS-1450. B. CMS-1500. C. 837I. D. 837P.