If the reported services are deemed NOT medically necessary at the level reported, the claim will be:
A) denied.
B) downcoded.
C) upcoded.
D) pended.
B) downcoded.
Health Professions
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A question that can be answered with a yes or no response is called a direct or ____________-____________ question
Fill in the blank(s) with correct word
Health Professions
A prospective audit would typically be done on claims that require an attachment or more information
Indicate whether this statement is true or false.
Health Professions
What is CHAMPVA?
What will be an ideal response?
Health Professions
Central sleep apnea occurs more often than obstructive sleep apnea
Indicate whether the statement is true or false.
Health Professions