What are the most common reasons that claims are denied?

What will be an ideal response?


The most common reasons include missing or incomplete diagnoses, diagnoses not corresponding with services rendered, incorrect dates, charges not itemized, incorrect patient insurance information, incorrect procedure codes, and documentation not submitted to substantiate services rendered.

Health Professions

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A 2-year-old boy is in severe respiratory distress. The child is drooling and has labored breathing. Stridor is heard. RR is 42 breaths/min and HR is 148 beats/min. What should be done next?

a. Intubate. b. Provide 100% oxygen on nonrebreather mask. c. Administer racemic epinephrine. d. Place on CPAP with low PSV.

Health Professions

The appropriate way for a physician to terminate the care of a patient is to ____. 

A. inform the patient by telephone B. send the patient a certified letter C. tell the patient in person D. obtain the patient's consent E. send the patient a text message

Health Professions

The legal term that identifies the knowledge and skills required for a profession and describes a health care provider's core accountability, based on education, experience, and credentialing is:

a. professional liability b. policies and procedures c. recommended standards of practice d. scope of practice

Health Professions

You can shield yourself from beta particles using:

A. 3 cm of dry air. B. a thick piece of paper. C. a 1 cm thickness of aluminum. D. all of the above

Health Professions