When a Claim Has Been Downcoded or Denied by the Insurance

question 30

Short Answer

When a claim has been downcoded or denied by the insurance carrier, the medical office specialist can ask for reconsideration by filing:
A)an appeal.
B)an adjudication.
C)a complaint.
D)a request.

• A)an appeal.
• B)an adjudication.
• C)a complaint.
• D)a request.

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Definitions:

Projection

A defense mechanism where individuals attribute their own unacceptable thoughts, feelings, or motives to another person.

Oedipus Complex

A concept in psychoanalytic theory describing a child's feelings of desire for their opposite-sex parent and jealousy and envy toward their same-sex parent.

Erogenous Zones

Areas of the body that experience heightened sensitivity and can lead to sexual arousal when stimulated.

Orally Fixated

describes a person in Freudian psychology who is said to have unresolved conflicts during the oral stage of development, potentially leading to behaviors centered around oral stimulation.