Typically, which of the following is NOT a reason claims for payment may be suspended?

a. The claim is for a very high dollar amount.
b. When the claims manager has a hunch, something is inaccurate.
c. When the claims has illogical information, such as gender or patient age that do not match the codes.
d. The claim needs to undergo medical necessity review.


Answer: b

Health Professions

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Criteria for hardship cases include patients who ____. 

A. refuse to pay the balance they owe B. may be poor, underinsured, or elderly and on a limited income C. have moved without leaving a forwarding address D. have not received an invoice E. receive professional courtesy from the medical office

Health Professions

Physical, biological, social, cultural, and behaviors that influence health are known as ____.

A. risk factors B. health-related states C. agents D. determinants

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Code the repair of both the visceral aorta and the infrarenal aorta

A) 34845 B) 34841 C) 34840 D) 34800

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In females the oogonia, the ovarian stem cells

a. divide and reduce in number only during fetal development. b. multiply to millions of cells only during fetal development. c. are not present during fetal life. d. are present only in very small numbers during fetal life.

Health Professions