During the adjudication process, if there are problems during the automated review, the claim is pulled for

A. suspension.
B. determination.
C. development.
D. pending status.


Answer: C

Health Professions

You might also like to view...

Generally, official incident information is released by the Joint Field Office to the Joint Information Center, established by NIMS, where media representatives gather for press conferences and important messages.

Answer the following statement true (T) or false (F)

Health Professions

Procedure codes for billing laboratory test come from:

A) POL Manual. B) FDA Manual. C) CPT. D) ICD-9-CM.

Health Professions

Under an HMO setup, members pay a set amount every month and the HMO agrees to provide all their care

Indicate whether this statement is true or false.

Health Professions

Which of the following parameters for electrical stimulation as an adjunct to wound healing are correct?

A. Intensity of 75–200 watts, frequency of 1.0 MHz B. Can be performed topically, in a chamber, or under water C. If infection is suspected, anodal stimulation should be used at least initially D. Intensity of 75–200 volts, frequency of 80–125 Hz

Health Professions