When Each Reported Service Is Connected to a Diagnosis That

question 86

Multiple Choice

When each reported service is connected to a diagnosis that supports the procedure as medically necessary, the claim is referred to as:

• A) accurate.
• B) clean.
• C) complete.
• D) authorized.

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Definitions:

Consideration Requirement

A fundamental principle in contract law that requires both parties involved in a contract to exchange something of value for the agreement to be legally binding.

Legal Value

Consideration or a benefit recognized by the law that supports a contract's enforceability.

Steinberg v. U.S.

A legal case reference, implying a specific instance of jurisprudence or legal interpretation by the court.

Bargained For

Refers to a situation in contract law where each party receives something of value in exchange for their agreement or performance.