WGU D052 Navigating Care Across the Continuum | 325 Questions with 100% Correct Answers | Verified | Latest Update | 77 Pages
When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication? - FDA and DEA The FDA (Federal Drug Administration) and DEA (Drug Enforcement Agency) focus on medication compliance and medication utilization. How would you follow up on a denied claim? - Make sure resubmissions are marked as "corrected claim" and include the reference number from the denied claim. What information should you supply when you are calling to discuss a claim? - Client's date of birth, the organization's tax ID or NPI, info from the claim about date of service and coding, how much is being billed. What are the possible outcomes of the phone call that Barbara Griswold describes? - A corrected claim will need to be submitted, you may need to speak with a supervisor, or you may need to file an appeal.
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