Exam (elaborations)
SimChart 20 Post-Case Quiz Questions and Answers 100% correct
- Course
- Institution
SimChart 20 Post-Case Quiz
[Show more]
Content preview
SimChart 20 Post-Case QuizPrecertification may be done via:
A. phone, fax, and/or email.
B. email.
C. phone.
D. fax. - answerA. phone, fax, and/or email.
What process indicates that a patient's insurance company has verified a service is
covered by the patient's policy, reviewed the medical necessity for the service, and
agreed that it is medically
appropriate?
A. Reimbursement
B. Claim overview
C. Advanced Directive
D. Precertification - answerD. Precertification
Documentation for precertification can include which of the following?
A. Diagnosis
B. Proposed procedure
C. Insurance ID number
D. Diagnosis, proposed procedure, and insurance ID number - answerD. Diagnosis,
proposed procedure, and insurance ID number
Providing the diagnosis when requesting precertification for a procedure will help the
insurance
carrier to determine what?
A. Patient viability
B. Medical necessity
C. Diagnosis code
D. Procedure code - answerB. Medical necessity
Services that usually require preauthorization or precertification include:
A. laboratory tests.
B. routine "wellness" examinations.
C. emergency room services.
D. inpatient hospitalization. - answerD. inpatient hospitalization.
True or false? There is nothing that needs to be indicated on an insurance claim
regarding preauthorization. - answerFalse - When a preauthorization is received for a
procedure, the insurance carrier will supply a
preauthorization number that should be included on the claim.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dreamer252. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now