One reason a WC claim could be reversed to a non–workers' compensation claim is:
a. the injured worker not following the treatment plan.
b. the injured worker being found negligent in the act causing the injury.
c. the provider refusing to accept workers' comp payment.
d. None of the above
Answer: b
Health Professions
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The summary of codes that have been deleted, added, or altered since the last publishing of the CPT are found where in the CPT manual?
A. Tabular Index B. Appendix A C. Appendix B D. Inside the front cover
Health Professions
The prepaid group healthcare organization in which members must have preauthorization for certain medical procedures is a:
a.) DRG b.) ICD c.) MCO d.) SNF
Health Professions