In the Patient's Bill of Rights, the provision regarding choice of providers allows patients the right to:
A. use any network or non-network providers.
B. a network with access to appropriate high-quality healthcare.
C. a network that allows second opinions from non-network providers.
D. a network that includes all the physicians in a given area.
Answer: a network with access to appropriate high-quality healthcare.
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If a lab bills for a general health panel but fails to perform one of the tests, it is guilty of which of these fraudulent coding and billing practices?
A. reporting services that were not performed B. reporting services at a higher level than was carried out C. performing billing for procedures that are not related to the patient's condition D. billing separately for services that are bundled in a single procedure code
Question(s) 5-25 will require the use of an ICD-9-CM code book to complete the sentence. Episioperineorrhaphy is coded to procedure code __________
Fill in the blank(s) with correct word
Which of the following BEST describes why hypoglycemia after delivery is common in infants born to mothers with gestational? diabetes?
A) The fetus develops compensatory insulin production in utero due to maternal hyperglycemia, which causes hypoglycemia after delivery.
B) The genetic nature of diabetes mellitus makes infants born to mothers with gestational diabetes more likely to have diabetes themselves.
C) The fetus is no longer receiving insulin via the umbilical cord, and therefore becomes hypoglycemic after birth.
D) Gestational diabetes may cause fetal pancreatic abnormalities that cause hypoglycemia after birth.
Which modifier should be assigned to indicate the patient's condition at the time anesthesia was administered?
a. -QY b. -G9 c. -QS d. -P1