If a Patient Is Upset About a Claim Denial, the Medical

question 90

Multiple Choice

If a patient is upset about a claim denial, the medical office specialist should do all of the following EXCEPT:

• A) explain in simple language why the insurance carrier denied payment.
• B) ask the patient to call the insurance carrier to try to get them to reconsider.
• C) use respect and care when explaining policy benefits.
• D) if the denial was due to a need for additional information, submit the additional documentation immediately and let the patient know it has been done.

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Definitions:

Hyoid Bone

A U-shaped bone in the neck that supports the tongue and provides attachment for its muscles.

Short Bones

Bones that are as wide as they are long, providing support and stability with little to no movement, found in the wrist and ankles.

Vertebral Bones

The bones that make up the vertebral column or spine, providing structural support and protecting the spinal cord.

Tarsals

Tarsals are the seven short bones that make up the ankle and the rear portion of the foot, helping to distribute body weight in standing and walking.