A ________occurs when a procedure and a diagnosis are not correctly linked, in the opinion of the payer.

A. development
B. redetermination
C. determination
D. medical necessity denial


Answer: D

Health Professions

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The function of the large intestine is to complete digestion and __________

a. abortion b. absorption c. contortion d. elasticity

Health Professions

The best defense against the spread of upper respiratory infection is to:

A) practice early antibiotic intervention. B) practice good hygiene. C) take antihistamines. D) restrict antibiotic use.

Health Professions

Where are Medicare and Medicaid sanctions and malpractice histories recorded?

A. National Provider Identifier B. Federal Register C. The Office of Inspector General D. National Practitioner Data Bank E. Individual state medical boards

Health Professions

A drug used to treat nocturnal enuresis in children is:

A) hyoscyamine sulfate B) phenazopyridine C) dimethyl sulfoxide D) imipramine HCl

Health Professions