​Which of the Following Would Be Considered a Step or Steps

question 37

Multiple Choice

​Which of the following would be considered a step or steps to obtain precertification or preauthorization (predetermination) for a procedure for a patient with a managed care plan?

• A) ​Determine if precertification or preauthorization is required.
• B) Locate the form on the insurance company website (or call the insurance company if you cannot locate or have questions).
• C) ​Complete the form correctly,fax to the insurance company (or send electronic authorization request).
• D) ​All of the above are necessary steps.

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Definitions:

Lyme Disease

An infectious disease caused by Borrelia bacteria, transmitted to humans through the bite of infected black-legged or deer ticks.

Eczema

A condition that causes inflamed, itchy, cracked, and rough skin patches, and sometimes blisters.

Medication Allergy

An immune system reaction that occurs as a response to a specific medication, ranging from mild to severe.

Carbon Monoxide Poisoning

A potentially fatal condition caused by inhalation of carbon monoxide gas, which prevents oxygen from being utilized properly by the body.