When Records Are Reviewed by Third-Party Payers,if a Procedure Is

question 41

Multiple Choice

When records are reviewed by third-party payers,if a procedure is not documented,it:

• A) will be reimbursed at only 50 percent of the standard rate
• B) will be reimbursed at only 10 percent of the standard rate
• C) is considered to never have been performed
• D) must be resubmitted with a statement of explanation from the provider

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Definitions:

Sickle-cell Carriers

Individuals who carry one copy of the mutated gene responsible for sickle-cell disease but generally do not show symptoms.

Cultural Factors

Elements that arise from the shared beliefs, values, norms, and practices of a group of people that influence behavior and interactions.

Adaptive Traits

Characteristics or behaviors of an organism that have evolved over time to increase the likelihood of survival and reproduction in its environment.