What is meant by verifying medical necessity when reviewing a claim?
What will be an ideal response?
Answer: The diagnosis and procedures are reviewed to be sure that the treatment was appropriate for the diagnosis.
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The common adult dosage of tamsulosin is:
A) One-half to one 2½ mg scored tablet daily. B) 50 mg once daily for 5 days. C) 0.4–0.8 mg once daily. D) 0.5 mg once daily.
An air medical transport crew has just arrived at the scene where you are providing care for a patient with a suspected AMI. You should:
A) move the patient to the door of the helicopter and prepare to load the patient. B) wait for the flight crew to make contact with you and give them a report. C) ask over the radio if the crew is ready to receive the patient. D) send a BLS provider to make contact with the flight crew.
If a patient is the primary policyholder on two insurance plans, the primary plan is considered:
A) the plan with the highest level of benefits. B) the plan in effect for the longest period of time. C) the plan that has the highest premium. D) the plan in effect for the shortest period of time.
When setting up preoperative appointments and tests for a patient,
A) schedule all tests and procedures as close together as possible. B) remember that patients may find too many appointments in one day tiring. C) schedule tests and procedures as far apart as possible. D) only take into consideration the time frame during which the physician wants them done.