The most likely outcome of an insurance claim submitted with a diagnosis code of a sore throat and a treatment code indicating a cast for a broken leg would be ____.
A. coverage at 100 percent for both the sore throat and the broken leg
B. the fee for service would be applied toward the patient's deductible
C. denied because the treatment was not medically necessary based on the diagnosis
D. a reprimand to the physician for not treating the sore throat
E. the patient may have to pay a coinsurance after the deductible is met
C. denied because the treatment was not medically necessary based on the diagnosis
The insurance claim would be denied as a billing error because the treatment was not medically necessary based on the diagnosis code and there is no evidence of code linkage.
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Restrictions are often called "chronic holding patterns."
a. True b. False
Immunity resulting from a direct attack on a foreign substance by specialized cells in the immune system is:
A) primary immunity. B) humoral immunity. C) cellular immunity. D) secondary response.
All of the following factors would tend to increase mean airway pressure except:
a. short inspiratory times. b. increased mandatory breaths. c. increased levels of positive inspiratory pressure (PIP). d. increased levels of positive end expiratory pressure (PEEP).
The ____ has the responsibility to investigate all acts of potential terrorism and acts as the lead in the investigation.
A. CIA B. FBI C. DHS D. FEMA