Because Most Third-Party Payers Do Not Pay for Cosmetic Surgery

question 63

Multiple Choice

Because most third-party payers do not pay for cosmetic surgery, the physician must carefully document ____ to ensure reimbursement for noncosmetic procedures.

• A)prognosis of the patient's condition
• B)medical necessity
• C)treatment plan
• D)none of the above

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Definitions:

Directs

Commands or instructions given with authority to guide or control actions or decisions.

Controls

Mechanisms, rules, or protocols used to regulate behaviors, processes, or operations.

Plans

Detailed proposals for doing or achieving something, often involving a series of steps or actions.

Ethics Competency

The ability to understand and apply ethical principles and standards in personal and professional situations.