Summary

This document contains questions about medical procedures, case reviews, and user roles in a healthcare setting. Questions cover topics such as creating cases, privileges of different roles, clinical appropriateness, and medical terminology.

Full Transcript

1. For which review type an urgent case can be created. Retrospective Prospective PCCA All the above. 2. To create a prospective case, the date of service cannot be greater than ___. 30 days 60 days 90 days 120 days...

1. For which review type an urgent case can be created. Retrospective Prospective PCCA All the above. 2. To create a prospective case, the date of service cannot be greater than ___. 30 days 60 days 90 days 120 days 3. Which role has the privilege to deny a case if it is not met at the initial intake. RN user Ordering user MD user Servicing user 4. Which user role can create only PCCA cases in Provider Portal. Ordering user Servicing User RS user Hp-rep User 5. What PCCA stands for. Post Claim Clinical Appropriateness. Post Clinical Claim Appropriateness. Post Clinical Care Appropriateness. Post Care Clinical Appropriateness. 6. "MAC" stands for: Mycobacterium avium complex Monitored Anesthesia Care Media Access Control Medicare Administrative Contractor 7. The surgical and RBM tabs share the same name except for two; these two tabs are: Procedure and facility Exam and Provider Procedure and Provider Exam and facility 8. How many clients does surgical have for now. 10 11 12 9 9. In the "facility" tab, users have the ability to view a list of previously selected providers. This screen is identified as: Last selected provider Initial display Local search result HPN display

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