In Claims Administration Terminology, a Claims Investigation Is Correctly Defined

question 110

Multiple Choice

In claims administration terminology, a claims investigation is correctly defined as the process of

• A) reporting management information about services provided each time a patient visits a provider for purposes of analyzing utilization and provider practice patterns
• B) obtaining all the information necessary to determine the appropriate amount to pay on a given claim
• C) routinely reviewing and processing a claim for either payment or denial
• D) assigning to each diagnosis or treatment reported on a claim special codes that briefly and specifically describe each diagnosis and treatment

Ability to draw and interpret the Haworth projection of cyclic monosaccharides.

Differentiate between epimers, anomers, and diastereomers within carbohydrate chemistry.

Recognize and understand the stability and representation of chair conformers of glucopyranose.

Understand the concept of mutarotation and how it relates to the optical activity in carbohydrate solutions.

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Definitions:

Replacement Cost

The current cost of replacing an asset with a new one of the same kind and quality.

Inventory Turnover

A metric that measures the number of times a company sells and replaces its stock of goods during a certain period.

Lower of Cost

This accounting principle requires that the inventory or stock should be reported at the lower of its cost or the market value.

Market Method

An appraisal technique used to determine the value of an asset based on the current market price of comparable assets.