Question

involves linking every procedure or service code reported on the claim to a condition code that justifies the need to perform that procedure or service
coding
medical necessity
reimbursement
claim appeals
question 4 (3 points)
a ____________ is employed by a provider to perform administrative and clinical tasks that keep the office running smoothly.
a - health insurance specialist
b - reimbursement specialist
c - medical assistant
d - physician

Explanation:

For the first question, medical necessity involves linking procedures/services to condition codes. Coding is just assigning codes. Reimbursement is about payment. Claim appeals are for disputing claims.
For the second question, a medical assistant does administrative and clinical tasks. A health insurance specialist focuses on insurance. A reimbursement specialist on payment. A physician is a doctor.

Answer:

First question: Medical Necessity
Second question: C - Medical Assistant