When Each Reported Service Is Connected to a Diagnosis That

question 86

Multiple Choice

When each reported service is connected to a diagnosis that supports the procedure as medically necessary, the claim is referred to as:

• A) accurate.
• B) clean.
• C) complete.
• D) authorized.

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Definitions:

Uniform Commercial Code

A comprehensive set of laws governing all commercial transactions in the United States intended to harmonize laws across the states.

Quantity Element

An aspect of some agreements emphasizing the specific amount or volume of goods to be provided or actions to be carried out.

Accidental Sale

A transaction where goods or services are sold unintentionally, often due to a misunderstanding or mistake.

Profit Margin

A financial metric used to assess a company's profitability by comparing net income to sales.