Which of the following resources is used to understand Medicare coverage circumstances such as indications and coding guidance?
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Incorrect
Question 2 of 3
2. Question
A billing and coding specialist is reviewing a remittance advice that has a remark code that indicates a claim is pended for review of medical records. Which of the following actions should the specialist take?
Correct
Incorrect
Question 3 of 3
3. Question
Which scenario eliminates the need for prior authorization?