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Questions and Answers
One of the primary purposes of medical documentation is to prove causation
One of the primary purposes of medical documentation is to prove causation
True
If a medical provider asks you for the policy limits and insurance carrier, you can disclose the information via email.
If a medical provider asks you for the policy limits and insurance carrier, you can disclose the information via email.
False
You must never share the policy limits information with medical providers by any means.
You must never share the policy limits information with medical providers by any means.
False
A case handler should never discuss medical treatment with providers by any means.
A case handler should never discuss medical treatment with providers by any means.
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It is okay for case handlers to request via email the recommendations and referrals from a medical provider.
It is okay for case handlers to request via email the recommendations and referrals from a medical provider.
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Scenario. A pain specialist sent you an email requesting the policy limits to authorize the procedure recommended. If the information is not provided, the procedure will not be performed. You should respond the email with the requested information to avoid gaps in treatment.
Scenario. A pain specialist sent you an email requesting the policy limits to authorize the procedure recommended. If the information is not provided, the procedure will not be performed. You should respond the email with the requested information to avoid gaps in treatment.
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Scenario. You received a medical report and noticed that there was incorrect information in it. You have to request the correction via email.
Scenario. You received a medical report and noticed that there was incorrect information in it. You have to request the correction via email.
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