If the Reported Services Are Deemed NOT Medically Necessary at the Level

question 42

Multiple Choice

If the reported services are deemed NOT medically necessary at the level reported, the claim will be:

• A) denied.
• B) downcoded.
• C) upcoded.
• D) pended.

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Definitions:

Moral Embargo

An informal and voluntary cessation of relations or activities, usually trade, with another entity on ethical, moral, or political grounds.

Big Business

Large-scale or multinational corporations that wield significant economic power and influence over markets, labor, and policy, often characterized by complex structures and global operations.

Japanese-Americans Internment

The forced relocation and incarceration in camps of about 120,000 Japanese Americans and residents of Japanese ancestry during World War II by the United States government.

U.S. Authorities

Refers to the government officials and institutions that govern and enforce laws in the United States.