What is meant by verifying medical necessity when reviewing a claim?

What will be an ideal response?


The diagnosis and procedures are reviewed to be sure that the treatment was appropriate for the diagnosis

Health Professions

You might also like to view...

Packing of the chest wall using packing material would be reported with code _____

a. 2W54XYZ b. 2W44X5Z c. 2W14X6Z d. 2W24X4Z

Health Professions

In the Nuclear Medicine section of ICD-10-PCS, the third-character value denotes the type of nuclear medicine procedure

a. True b. False Indicate whether the statement is true or false

Health Professions

Clindamycin (Cleocin®) should be avoided in which of the following?

Female genital infections Acne Pregnancy Bone infections

Health Professions

In the human body, ____ is the predominant interaction through most of the diagnostic x-ray range.

a. Compton scattering b. coherent scatter c. photoelectric interactions d. photodisintegration

Health Professions