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linking every procedure or service code to a condition reported on a cl…

Question

linking every procedure or service code to a condition reported on a claim to justify the treatment is a function of: a. medical necessity b. preauthorization c. electronic data interchange d. coding

Explanation:

Brief Explanations

Medical necessity ensures that every procedure or service code is linked to a condition on a claim to justify the treatment. Preauthorization is about getting approval before a service. Electronic data interchange is for data transfer. Coding is about assigning codes.

Answer:

A. medical necessity