Match the following
-The second level of appeal for Medicare claims, during which these entities process reconsiderations of a carrier's redetermination
A) qualified independent contractors (QICs)
B) documentation
C) subjective, objective, assessment, plan (SOAP)
D) administrative law judge (ALJ)
E) ERISA
F) audit
G) peer review
H) Civil Practice and Remedies Code
I) appeal
J) redetermination
Correct Answer:
Verified
Q77: If a claim is denied because the
Q78: Church and government health benefit plans are
Q79: A provider has 120 days to file
Q80: An appeal letter is more effective when
Q81: Match the following
-Decision maker at the third
Q83: What is the difference between subjective information
Q84: Explain what the medical specialists should do
Q85: What information should be included in an
Q86: List three situations in which the carrier
Q87: What is a claim appeal?
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