If an insurance carrier does NOT reconsider a downcoded claim that has been appealed, the medical office specialist can:
A) request assistance from the state insurance commissioner.
B) file a complaint with the Department of Health and Human Services (DHHS).
C) file a complaint with the Centers for Medicare and Medicaid Services (CMS).
D) bill the patient for the remaining balance.
A) request assistance from the state insurance commissioner.
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The presence of what poikilocyte would lead to a suspicion of myelophthisic anemia rather than pure red cell aplasia?
a. Dacryocyte b. Drepanocyte c. Schistocyte d. Stomatocyte
If verbal authorization is given by an employer for an injured employee to be seen under workers' compensation, what should be documented by the provider's office?
a. Yes or no answer b. Date and time of the authorization c. Name and title of person providing authorization, date, and time d. Authorization number