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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077 Exercise 23
In your opinion, is each of the following procedures likely to be considered medically necessary by a payer's healthcare claims examiner? Why?
A. Diagnosis: deviated septum
_________Procedure: nasal surgery
B. Diagnosis: mole on a female patient's cheek, questionable nature
_______Procedure: surgical removal and biopsy
C. Diagnosis: male syndrome hair loss
_______Procedure: implant hair plugs on scalp
D. Diagnosis: probable broken wrist
_________Procedure: comprehensive full-body examination, with complete set of lab tests, chest X-ray, and ECG
A. Diagnosis: deviated septum
_________Procedure: nasal surgery
B. Diagnosis: mole on a female patient's cheek, questionable nature
_______Procedure: surgical removal and biopsy
C. Diagnosis: male syndrome hair loss
_______Procedure: implant hair plugs on scalp
D. Diagnosis: probable broken wrist
_________Procedure: comprehensive full-body examination, with complete set of lab tests, chest X-ray, and ECG
Explanation
Verified
Verified
A. Yes-essential
B. Yes-essent...
Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
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