What is the main difference between a preauthorization and a predetermination?
a. The treatment plan is included in a preauthorization.
b. The treatment plan is included in a predetermination.
c. One is for procedures, and the other is for hospitalization.
d. One is required, and the other is not.
Answer: b
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Please describe conditions classified under the Preferred category for the prescription of CBCT
What will be an ideal response?
Susan Clerk works in the admissions office at Hillcrest Medical Center, a large teaching hospital. She would like to obtain a job in the HIM department entering and abstracting data from the disease and procedure indexes for various projects. The hospital offers "minicourses" on a variety of topics. Which course topics would apply to the job she hopes to obtain?
A) health care finance B) ICD-9-CM/ICD-10-CM coding C) ICD-9-CM/ICD-10-CM and CPT/HCPCS coding D) Medicare regulations