The patient is responsible for payment when a claim is denied in all of the following cases EXCEPT when:
services were for treatment of an excluded preexisting condition.
services were provided after coverage was canceled.
services were provided that were not preauthorized.
services were provided before coverage was in effect.
Answer: services were provided that were not preauthorized.
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What does the acronym CMS mean?
a. Centers for Medical Supervisors b. Clinical Management Standards c. Centers for Medicare and Medicaid Services d. Center for Clinical Managing Medical Services
Which of the following statements about flame detectors is MOST accurate?
A. Infrared flame detectors can be designed to be sensitive to only light produced by hostile fires. B. Ultraviolet flame detectors are recommended for areas where intense mercury-vapor lamps are used. C. Infrared flame detectors are virtually insensitive to sunlight, and can be used in areas not suitable for ultraviolet detectors. D. Ultraviolet flame detectors are virtually insensitive to sunlight, and can be used in areas not suitable for infrared detectors.
A patient with suspected protein-losing enteropathy (PLE) would have which of the following laboratory results?
A. Decreased serum protein and albumin B. No change in serum protein or albumin C. Decreased serum protein and increased albumin D. Elevated serum protein and albumin
Which of the following is TRUE regarding preeclampsia?
A) Occurs when the blood pressure surpasses 160/90 mmHg. B) Usually occurs to women who are over the age of 35. C) It can develop within 48 hours after delivery. D) Presents with seizures and hypertension.