When an insurance carrier bases reimbursement on a code level lower than the one submitted by the provider, this is called ________. 

Fill in the blank(s) with the appropriate word(s).


downcoding
Downcoding is the term used when the insurance carrier bases reimbursement on a code level lower than the one submitted by the provider.

Health Professions

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Which of the following best reflects the number of diagnoses and/or management options?

a. Minimal (established problem, stable) b. Limited (established problem, worsening) c. Moderate (new problem requiring no diagnostic workup) d. Extensive (new problem requiring diagnostic workup)

Health Professions

The condition of skin inflammation that presents with red pimple-like bumps characterized by itching, blistering, or oozing areas that progress to scaly, brownish, or thickened skin is known as:

A) Eczema. B) Psoriasis. C) Acne. D) Rash.

Health Professions

When using the ISO fire flow formula, how much addition flow should be added to the calculated figure to account for wood shingles?

A. 100 gpm B. 250 gpm C. 500 gpm D. No adjustment is required

Health Professions

Brittle-bone disease is another name for ____. 

A. osteogenesis imperfecta B. osteoporosis C. Paget's disease D. scoliosis E. kyphosis

Health Professions