All of the following claims can be appealed by telephone EXCEPT those in which:
A) a modifier was used to indicate multiple procedures that the carrier bundled.
B) the claim was considered not medically necessary.
C) the carrier requested information from the patient that was not received.
D) the patient had a routine service covered by the policy.
B) the claim was considered not medically necessary.
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Guidelines developed at the local level by emergency personnel familiar with an area's medical needs, available resources, system capabilities, and local standard of care are:
a. protocols. b. policies. c. advanced procedures. d. medical attributes.
Which of the following agents promotes the development of non-Hodgkin lymphoma through mucosa-associated lymphoid tissue (MALT) infiltration?
a. BCL-2 translocation b. Helicobacter pylori c. Epstein-Barr virus d. Ataxia telangiectasia
In which type of scheduling system are patients told that their appointments are on the hour and each is seen in the order in which they arrive?
A) True wave B) Modified wave C) Clustering D) Single booking
The charge for each service (by CPT code) provided in a medical practice is known as the fee ________.
Fill in the blank(s) with the appropriate word(s).