Answer the following statements true (T) or false (F)
1. An explanation of benefits (EOB) is notification the provider sends to the patient detailing what the insurance carrier has paid.
2. the Medicare conversion factor to be used for physician payments as of January 1, 2015, is $35.8043.
3. A claim that is manually reviewed by an insurance carrier can be denied for lack of required preauthorization.
4. f a claim is denied due to lack of medical necessity, the provider must refund any payment made by the carrier and can bill the patient for the balance.
5. Physicians have the right to establish their fees at a level that they believe fairly reflects the costs of providing a service.
1. FALSE
2. TRUE
3. TRUE
4. ALSE
5. TRUE
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In 1999, the United States began using the ________ for coding and classification of mortality data
a. Bertillon Classification b. ICD-9-CM c. ICD-10 d. ICD-10-CM
During a patient transport with the Impact Uni-Vent 750, the respiratory therapist hears a whis-tling sound. What is the most likely cause of this whistling?
a. The "PEEP not set" alarm is currently ac-tive. b. The "battery low/fail" alarm is being vio-lated. c. The patient flow is greater than the set flow. d. The demand valve has opened, and gas is passing through.
Which of the following would be an unexpected finding in chronic myelogenous leukemia?
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All of these are quality control measures, EXCEPT ________.
A. documenting, cleaning, and maintaining instruments B. testing on a routine schedule C. screening with a CLIA-waived test D. training new employees to perform urine tests