The term ________ during claim adjudication means that the payer needs more information to process the claim.

A. determination
B. redetermination
C. suspended
D. development


Answer: D

Health Professions

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The chamber of the heart that pumps deoxygenated blood to the lungs is called the:

A) right ventricle. B) left ventricle. C) left atrium. D) right atrium.

Health Professions

Which piece of legislation had important implications for rural hospitals?

a. Rural Hospital Act of 1992 b. Omnibus Budget Reconciliation Act (OBRA) of 1986 c. Access to Care Act of 1988 d. Higgins-Branyan Act of 2004

Health Professions

Which of the following terms best describes a procedure that creates an opening in the skin, such as a surgical incision, or inserting a urinary catheter?

a. Injecting b. Cautery c. Invasive d. Ligature

Health Professions

The electronic medical record is a(n) __________

a. created using vendor software, which also assists in provider decision making b. linking of information generated at different locations using a unique patient identifier c. observation about how the patient responds to treatment based on test results d. practice management software solution for acute and long-term care hospitals

Health Professions