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Mrs Lam Was Sent from Her Doctor's Office to the Outpatient

Question 50

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Mrs. Lam was sent from her doctor's office to the outpatient laboratory for a urinalysis. Her insurance company denied the claim, stating that the procedure was not necessary. The healthcare professional reviewed the claim and saw that a urinalysis was ordered, and the diagnosis listed on the encounter form was upper respiratory infection. Why was this claim denied?

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This claim was denied because a diagnosi...

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