Question

instructions: select the most appropriate response.

the process of linking procedure/service and condition codes on a cms - 1500 claim justifies
○ a. medical necessity.
○ b. hold harmless.
○ c. coding.
○ d. scope of practice.

Explanation:

Linking procedure/service and condition codes on a CMS - 1500 claim is about showing that the services provided were needed for the patient's condition. Medical necessity means that the services are appropriate and necessary for the diagnosis or treatment of an illness, injury, disease, or its symptoms. Hold harmless is a legal agreement. Coding is the act of assigning codes. Scope of practice refers to the activities a professional is permitted to perform.

Answer:

A. medical necessity