determining whether a particular medical treatment i.e. surgery tests will be covered under a patient's insurance policy contract involves a process known as_____?

Quesiton : determining whether a particular medical treatment i.e. surgery tests will be covered under a patient's insurance policy contract involves a process known as_____?

Answer: pre-certification

determining whether a particular medical treatment i.e. surgery tests will be covered under a patient's insurance policy contract involves a process known as_____? Determining whether a particular medical treatment (i.e surgery tests) will be covered under a patient's insurance policy contract involves a process known as … Determining whether a particular medical treatment (i.e surgery tests) will be covered under a patient's insurance policy contract involves a process known as _____. This question is part of NCCT Offical Practice Test M.A Start studying RHIT Exam Study 1. Learn vocabulary terms and more with flashcards games and other study tools. ... It is the process of determining whether the medical care provided to a patient is necessary. ... It contacted the patient's insurance company to confirm that the procedure is covered by the patient's policy and … FortHalifax Packing Co. v. Coyne 482 U.S. 1 9 (1987). In the context of anHMO the relevant administrative functions frequently performed by an HMOconsist of determining eligibility under the ERISA plan determining whethera particular treatment is covered by the plan sending required noticesand filing reports and keeping necessary records. Clinical practice guidelines have been a fundamental component of medical practice since one physician first asked another how to manage a patient . ... evidence-based approaches and explicit approaches. 2 Under the informal consensus process (or “global subjective ... of less than 35% to 40%. 37 To avoid debate on whether particular patients ... Under Mass. Gen. L. ch. 151B prospective employees can always be asked to complete "tests" that are non-medical in nature and measure whether the applicant can perform actual job functions. For example prospective police officers may be asked to participate in a physical agility test like running an obstacle course. Under Judge Easterbrook' s reading however any such legislative change would be unnecessary since decisions by HMOs regarding whether particular medical benefits are covered would not be decisions concerning the benefits due under an ERISA plan and would therefore not be subject to preemption under ERISA. Among the factors to be considered in determining whether an accommodation is an undue hardship are the cost of the accommodation the employer' s size financial resources and the nature and structure of its operation. ... A test for the illegal use of drugs is not considered a medical examination under the ADA; ... If I contract for a ...