If a Physician Requests a Peer Review That Results in Confirmation

question 93

Multiple Choice

If a physician requests a peer review that results in confirmation that services were NOT medically necessary:

• A) the patient should be billed for the review.
• B) the insurance carrier will pay for the review.
• C) there is no charge for the review.
• D) the physician must pay for the review.

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Definitions:

Observer Bias

The distortion of measurement or perception due to the personal beliefs, expectations, or experiences of the researcher or observer.

Unusual Problems

Issues or difficulties that deviate from what is typically encountered or expected in everyday life or in standard diagnostic frameworks.

Uncommon Disorder

A rare or infrequent medical or psychological condition that affects a small percentage of the population.

Research-Supported

Refers to approaches or treatments that have empirical evidence demonstrating their effectiveness.