While Business Rules Are Not Redundant, a Business Rule Can

question 41

True/False

While business rules are not redundant, a business rule can refer to another business rule.

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Definitions:

Medical Necessity

The determination that the health care professional was acting according to standard practices in providing a particular procedure for an individual with a particular diagnosis. Also referred to as medically necessary.

National Correct Coding Initiative

The National Correct Coding Initiative (NCCI) is a Medicare initiative that prevents improper payment of services that should not be reported together according to standardized coding guidelines.

Symptom

A subjective sensation or departure from the norm as related by the patient.

Fowler's Position

A semi-upright sitting position used in medical settings to improve breathing and decrease pressure on the abdomen.