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​Medicare will ______ pay for services or supplies considered medically reasonable and necessary for the diagnosis given


A) ​only
B) ​not
C) ​sometimes
D) ​none of the above

E) None of the above
F) All of the above

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Match each health insurance term with its definition. -Approval obtained before the patient is admitted to the hospital or receives specified outpatient or in-office procedures


A) managed care
B) Medicaid
C) precertification
D) preexisting condition
E) service area
F) subscriber
G) individual insurance
H) indemnity plan
I) utilization management (review)
J) workers' compensation

K) C) and J)
L) G) and J)

Correct Answer

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​Which of the following would be considered a step or steps to verify insurance coverage and eligibility?


A) ​Determine if the insurance is managed care.
B) ​Access the website for the patient's insurance carrier (or use the EHR application with electronic eligibility features) .
C) ​Complete the required fields,verifying you have the correct patient information and that the patient is eligible for services.
D) ​All of the above are necessary steps.

E) None of the above
F) B) and D)

Correct Answer

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