What is done by a payer to determine the appropriateness of medical services?
A) concurrent care
B) development
C) utilization review
D) determination
Correct Answer:
Verified
Q43: Which of these HIPAA transactions is used
Q44: A payer's automated claim edits may result
Q45: Concurrent care is care provided
A) at the
Q46: The _ is the person or entity
Q47: The claim turnaround time is stated
A) payers
Q49: If a Medicare beneficiary receives treatment covered
Q50: What is the correct order for the
Q51: In general, how many levels are there
Q52: A payer's decision regarding whether to pay,
Q53: What will a payer do when a
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