How Do Insurance Companies Use Diagnosis Codes

question 18

Multiple Choice

How do insurance companies use diagnosis codes?

• A) To determine the level of care received by the patient
• B) To determine whether the patient was well taken care of
• C) To decide whether the care given corresponds to the patient's disease
• D) To decide whether there is adequate information in the medical record

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Definitions:

Sampling Error

Refers to the difference between the population parameter and the sample statistic due to the fact that the sample is not a perfect representation of the population.

Statistical Error

The difference between a measured or observed value and the true value, often arising from sampling or measurement limitations.

Random Factors

Variables in an experiment that are randomly varied to assess their incidental effects on the outcome, as opposed to systematically manipulated factors.

Gold Medal

An award for the first-place finisher in a competition, often used in the context of the Olympic Games.