Which of the Following Is an Example of a Reason

question 14

Multiple Choice

Which of the following is an example of a reason why a claim would get a denial by an insurer?

• A) The patient was not eligible on the date of service
• B) A prior authorization was obtained when not needed
• C) The services were an emergency
• D) Contracted fees and payment terms were excessive

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Definitions:

Organizing

The process of arranging or structuring resources and tasks to achieve objectives efficiently, often relating to business or project management.

Directing

The process of guiding, leading, and motivating employees to achieve organizational goals.

Goals and Objectives

Targets and outcomes that an organization or individual aims to achieve within a specific timeframe.

Period Costs

Period costs are expenses that are not directly tied to the production process and are expensed in the period they are incurred.