All of the following claims can be appealed by telephone EXCEPT those in which:

a modifier was used to indicate multiple procedures that the carrier bundled.

the claim was considered not medically necessary.

the carrier requested information from the patient that was not received.

the patient had a routine service covered by the policy.


Answer: the claim was considered not medically necessary.

Health Professions

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The ventilator mode that delivers pressure breaths that are patient or time triggered, volume tar-geted, time cycled, and where the pressure is automatically adjusted to maintain delivery of the targeted volume is which of the following?

a. Volume support ventilation (VSV) b. Pressure augmentation (Paug) c. MMV d. Pressure-regulated volume control (PRVC)

Health Professions

Bones are positioned ____ to the skin. 

A. superior or cranial B. deep C. lateral D. inferior or caudal

Health Professions

The professional association of physicians specializing in surgery with the purpose of improving quality of care by setting patient care and surgical standards is the:

A. American College of Surgeons. B. American Surgical Association. C. American College of Physicians. D. American Medical Association.

Health Professions

When taking care of a drowning patient, age, length of submerged time, any signs of trauma, or contaminants inhaled from the water are factors that influence:

A) Transport priority B) Survivability C) Treatment modality D) Priority of care

Health Professions