Medicine Middle School

blank occurs when procedures and/or services are used only when an insurer is asking for a wirk related or medical disability exam.

Answers

Answer 1

Answer:

Answer:

Precertification

Explanation:

For managed care organizations to pay for medical services, precertification needs to be done. Precertification involves proving to the medical insurance company that a service is medically necessary. After precertification, the insurance company would determine if the service is a covered service before payment is made.

Precertification is taken by the insurer to provide the insurance company with procedures and/or services and diagnosis.

Explanation:

Answer 2

Precertification occurs when procedures and/or services are used only when an insurer is asking for a work-related or medical disability exam.

What is a Medical disability exam?

A Medical disability exam may be defined as a type of test that illustrates any sort of physical or mental impairment that substantially limits one or more major life activities of a person.

Precertification implies the process of certifying or proving to the medical insurance company that a service is medically required by a patient. After the process of precertification, the insurance company would establish if the claimed service is covered before payment is done.

For the proper management of healthcare organizations precertification needs to be done. Precertification is taken by the insurer in order to furnish the insurance company with procedures and/or services and diagnoses.

Therefore, Precertification occurs when procedures and/or services are used only when an insurer is asking for a work-related or medical disability exam.

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