What type of external audit is performed by payers before claims are processed?
A. prospective
B. retrospective
C. postpayment
D. prepayment
Answer: D
You might also like to view...
Which one of the following is an appropriate treatment for a patient who is severely hypothermic?
A) Having the patient take a hot water bath B) Removing wet clothing C) Massaging the extremities D) Having the patient walk around
Which of the following BEST defines a "consultation"?
A. The services and documentation that identifies that the provision of care for a specific patient within a specific inpatient facility has been completed, which requires a certain amount of time to allow for the final examination of the patient, and may include counseling and/or continuation of care with the patient and/or family, as well as any other physicians or facilities B. The services provided and documentation completed to identify when a patient's primary care physician relinquishes the responsibility of some or all of the patient's care to a different physician who has not previously provided any consultation services for the patient C. Services provided by one physician who performs an E/M service at the request of another physician for the sole purpose of providing a professional opinion on the patient's presenting problem D. The documentation completed by a physician to identify that the patient is now under care of an inpatient facility, which includes the facilitation of coordination of care with other physicians, nurses and any other clinical staff who will provide care and treatment for the patient for as long as the patient stays at that specific facility
Extracorporeal Therapies is defined as:
A) procedures in which equipment outside the body is used to assist/perform a physiological function. B) use of equipment outside the body for a therapeutic purpose that does not involve the assistance of a physiological function. C) a procedure that takes a single or series of readings of physiologic levels. D) a procedure in which a diagnostic or therapeutic substance is given to patient.
Which statement best describes the attention paid to health insurance coverage between 1939 and 1994?
A) The issue received intensive attention from Republicans only. B) The issue received attention from both parties but reform measures never came to a vote in the House or Senate. C) The issue received moderate attention from Democrats only. D) The issue received attention from both parties but reform measures consistently failed to pass.