A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is 'preauthorization required.' If the provider deems this procedure emergent, w... A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is 'preauthorization required.' If the provider deems this procedure emergent, which of the following actions should the assistant take?
Understand the Problem
The question is asking what action a medical assistant should take in response to a denial of payment for a cholecystectomy, specifically in situations where preauthorization was required.
Answer
Submit an appeal for the denied claim.
The final answer is to submit an appeal for the denied claim.
Answer for screen readers
The final answer is to submit an appeal for the denied claim.
More Information
When a procedure is deemed emergent, preauthorization might not be necessary. Submitting an appeal can help overturn the denial by providing justification for the emergency nature.
Tips
A common mistake is resubmitting the claim without the proper appeal process. Make sure to follow the protocol for appeals.
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