A payer's initial claim review may reject a claim due to
A) utilization review.
B) an invalid policy number.
C) lack of medical necessity.
D) noncovered services.
Correct Answer:
Verified
Q1: The _ verifies the medical necessity of
Q3: The first step the medical billing specialist
Q4: Which of these HIPAA transactions is sent
Q5: Which of these HIPAA transactions is sent
Q6: What may result from a lack of
Q7: What is the claim status when the
Q8: RA is the abbreviation for
A) remittance advice.
B)
Q9: On an aging report, which category describes
Q10: What happens if a provider does not
Q11: Claim adjustment reason codes are used by
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