The phrase "adjudicate a claim" means to

a. decide if the claim has sufficient information to be paid.
b. use software to "scrub" the claim for errors.
c. review the claim for medical necessity.
d. process the claim for settlement.


D

Health Professions

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The pharmacological effects of administering insulin to a hyperglycemic patient is an example of increased:

A) biotransformation. B) carrier-mediated diffusion. C) passive transport. D) transference.

Health Professions

The Healthcare Fraud and Abuse Control Program was created by the:

Health Insurance Portability and Accountability Act (HIPAA). Social Security Act. Federal Civil False Claims Act. Centers for Medicare and Medicaid Services (CMS).

Health Professions

If a patient is going to have an allergic reaction to an injected medication, it will happen immediately after injection

Indicate whether the statement is true or false

Health Professions

Which of the following names has not been properly entered into FL58?

A. McAllen B. Von Smythe C. Perry-Nicks D. Harvey III

Health Professions