A payer's automated claim edits may result in claim denial because of
A. lack of medical necessity.
B. lack of eligibility for a reported service.
C. lack of required preauthorization.
D. any of these.
Answer: D
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Efforts by representatives of therapy professional organizations to change Medicare rulings are an example of:
a. regulatory advocacy. b. citizen advocacy. c. client advocacy. d. professional advocacy.
Which of the following BEST defines "delivery room"?
A. Any E/M healthcare services requiring a longer amount of time to perform than the intraservice time typically allows; may occur in an outpatient or an inpatient setting B. Any healthcare services provided to infants older than 29 days but younger than 71 months C. A delivery room is a designated room or area specially equipped to deal with the delivery and care of newborns D. Any personalized, continuous healthcare care provided for one specific patient whose health has been abruptly damaged by an illness, injury, or disease that simultaneously poses a significant and definite threat to the patient's life
________ is noted by the presence of a spike and wide QRS complexes on the EKG monitor and/or rhythm strip.
A. Standardization B. Release C. Capture D. Synchronous
The National Incident Management System is designed to:
A) prepare for, prevent, respond to, and recover from domestic incidents, regardless of cause, size, or complexity. B) provide a consistent template to enable state, federal, and local governments to respond safely to any act of terrorism. C) educate state, federal, and local governments, as well as private-sector organizations, to effectively prevent a domestic incident. D) maximize the capabilities of each state in the United States to manage a large-scale disaster effectively, regardless of the cause.