Which of the following defines the "nonphysician practitioner"?
A. National Uniform Claims Committee (NUCC) - a national organization composed of multidisciplinary volunteers dedicated to providing authoritative guidance on the standards for content and data for noninstitutional healthcare claims; maintains and updates the CMS-1500 claim form
B. A qualified healthcare professional who is not a physician but who is authorized to practice medicine, is licensed and registered with the state in which he or she practices medicine, and is authorized to prescribe controlled substances during the management and treatment of a patient; also called a midlevel practitioner
C. Developed in 1996, a set of guidelines intended to reduce incorrect coding and improper overpayments or underpayments through the identification of codes that may or may not be utilized together or that are medically unlikely
D. A 38-chapter compendium of guidelines for reporting healthcare claims; maintained and updated by CMS
B
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A patient who appears dead due to a deep cold-water drowning should be:
a. left at the scene for the medical examiner to pick up. b. transported to a medical facility while being given rescue breathing only. c. transported to a medical facility while being given CPR. d. warmed up prior to transport and then given continuing CPR.
List potential problems occurring at the time of registration that could affect the processing of a health care claim for reimbursement.
What will be an ideal response?