What software detects and flags potential errors in either codes assigned or the billing form prior to the claim being submitted to Medicare?

When does a health plan cover sterilization procedures?

a. When a man requires a vasectomy. b. It is becoming less common for health plans to cover sterilization procedures. c. When a sterilization procedure is performed during the same hospitalization as that for a vaginal delivery but not in the same operative session, 100% of the fee or UCR would be allowed for each procedure. d. When a tubal ligation is performed soon after the same operative session as that for a cesarean section or intra-abdominal surgery.

Emergency Medical Responders have removed an intoxicated and confused patient from a car that struck another vehicle at a high rate of speed. The patient was unrestrained and his car did not have air bags. Assessment reveals deformity bilaterally to the hips and femurs and bruising to the knees. Based on this injury pattern, the EMT would recognize what type of injury mechanism?

A) Down and under B) Lateral impact C) Up and over D) High velocity