Which professional is employed by third-party payers to review health-related claims to determine whether the costs are reasonable and medically necessary based on the patient's diagnosis?
a. health information technician
b. insurance specialist
c. liability underwriter
d. medical assistant
b
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Your patient tells you that she is being treated for cystitis. You recognize that she is being treated for:
A) ovarian cysts. B) pelvic inflammatory disease. C) a urinary tract infection. D) an ectopic pregnancy.
Which of the following Latin prefixes means 1/10?
a. Micro b. Milli c. Centi d. Deci
Which of the following does not apply to the criteria for a "significant procedure"?
A. is surgical in nature B. carries a procedural and/or anesthetic risk C. requires specialized training D. performed for diagnostic purposes
Bobby Platz, a healthy 13-year-old male, is brought to the OR for an open repair of the upper end of his tibia. Lynn Smith, a CRNA, administers the anesthesia with medical direction by Dr. Prater, an anesthesiologist. What is the correct anesthesia code for this procedure?
A. 01392-P1-QX B. 01390-P1-QX C. 01392-P1-QS D. 01390-P1-QZ