If the Reported Services Are Deemed NOT Medically Necessary at the Level

question 42

Multiple Choice

If the reported services are deemed NOT medically necessary at the level reported, the claim will be:

• A) denied.
• B) downcoded.
• C) upcoded.
• D) pended.

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Definitions:

Income Tax Expense

The total amount of income tax a company is obligated to pay to the government, reported on its income statement.

Investing Activities

Financial actions that involve the purchase of long-term assets, securities, or other investments to generate future income or value.

Sale of Equipment

The process of disposing or selling a company's equipment assets, which may result in a gain or loss reflected in the income statement.

Direct Method

A method of presenting the cash flow statement where cash receipts and cash payments from operating activities are disclosed, offering a clearer understanding of cash flows.