A payer's decision regarding whether to pay, deny, or partially pay a claim is called

A. adjudication.
B. evaluation.
C. utilization.
D. determination.


Answer: D

Health Professions

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The EMT believes that a patient is mildly hypoxic based on findings from the primary assessment. Which other sign could the EMT use to confirm his suspicion of mild hypoxia?

A) Cyanosis B) Restlessness C) Responsive to verbal stimuli D) Sleepy appearance

Health Professions

When information such as the result of a laboratory test is entered into a patient's EHR, the information is available for viewing ____. 

A. immediately B. the morning of the next business day C. within two days D. within one week E. within 10 business days

Health Professions

Which of the following treatments would be used for a patient who has congestive heart failure?

A. High-fiber foods B. Anti-inflammatories C. Chemotherapy D. Surgical valve repair E. Diuretics

Health Professions

Identify a TRUE statement about a partial birth abortion.

A. This phrase refers to the state of the fetus when it is not a person in any form. B. It is performed in the second phase of pregnancy. C. It is performed especially just before birth. D. This phrase connotes the early stage of the fetus. E. It is performed in the first trimester.

Health Professions