If the reported services are deemed NOT medically necessary at the level reported, the claim will be:
A) denied.
B) downcoded.
C) upcoded.
D) pended.
Correct Answer:
Verified
Q6: When providers determine what fee to charge
Q7: Claims processing involves the verification of medical
Q8: Which are steps for processing reimbursements when
Q9: A claim that is removed from a
Q10: The notification sent by the insurance carrier
Q12: When third-party payers determine reimbursement, they consider
Q13: Resource-based fee structures consider all of the
Q14: Medicare conversion factor updates are based on
Q15: During the patient's care, all procedures and
Q16: An appeal for reconsideration of a carrier's
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