ICD-9-CM Serves Three Major Functions for Insurance Purposes

question 6

Multiple Choice

ICD-9-CM serves three major functions for insurance purposes. Of the choices below, which is NOT a function of ICD-9-CM?

• A) It justifies procedures and services by the physician.
• B) To determine if the costs submitted are reasonable for services provided.
• C) It assists in establishing medical necessity for services performed.
• D) It serves as an indicator in measuring quality of health care delivered by the provider.

---

Definitions:

Conditional Statement

A statement in logic that asserts that if one thing is true, then another thing will follow as a consequence.

Antecedent Statement

A proposition or assertion that precedes another in logic, often serving as a premise in an argument.

Logic of Statements

The study of the principles and criteria for evaluating deductive arguments and the validity of statements.

Equivalent

Equal in value, measure, force, effect, or significance.