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Medical Office Management Worksheet

May 11, 2023

_______ refers to the process of contacting a patient’s insurance carrier to obtain permission for the patient to receive prescribed procedures.Question 1 options:

a)Allowable service

b)Managed care consent

c)Preauthorization

d)Fee determination

Expert Solution Preview

Introduction: In medical practice, it is important to understand various terms and processes involved in obtaining permission and authorization for medical procedures. This helps in efficient communication with insurance carriers and providing better care to patients.

Answer: Preauthorization refers to the process of contacting a patient’s insurance carrier to obtain permission for the patient to receive prescribed procedures. This process involves submitting necessary documentation, such as medical records and test results, to the insurance company to assess the medical necessity and cost-effectiveness of the proposed procedure. Preauthorization helps in ensuring that the patient receives appropriate medical care and that the insurance company covers the cost of the procedure.

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