If the reported services are deemed NOT medically necessary at the level reported, the claim will be:

denied.

downcoded.

upcoded.

pended.


Answer: downcoded.

Health Professions

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Which of the following circumstances would allow a practitioner to divulge otherwise confidential client information?

a. When they are not a HIPAA "covered entity" b. When there is a medical emergency c. When a family member requests it in writing d. When it is non-essential information that is not pertinent to their treatment

Health Professions

How many Cs are there to proper medical charting?

A. 1 B. 5 C. 20 D. 100

Health Professions

The act of breathing transports air entering the oral or nasal cavities to the ____________________ sacs where gas exchange can occur.

Fill in the blank(s) with the appropriate word(s).

Health Professions

Common reference books for medical billers include all of the following EXCEPT:

a. the Merrik book. b. a medical dictionary. c. the PDR. d. various coding manuals.

Health Professions