PRIOR AUTHORIZATION CERTIFIED SPECIALIST PROGRAM EXAM QUESTIONS

PRIOR AUTHORIZATION CERTIFIED SPECIALIST PROGRAM EXAM QUESTIONS
Question 1: Why is it important to get a reference number and
send a follow up letter after telephone prior authorization?
CORRECT ANSWER: Verbal authorizations may be
difficult to prove and could be reversed
Question 2: TRUE/FALSE Medicare Advantage Plans will
sometimes cover routine dental services.
CORRECT ANSWER: True
Question 3: Which professional is responsible for gathering
information from a patient's medical records and submitting
an authorization request to the patient's insurer?
CORRECT ANSWER: Provider's office staff
Question 4: Under the prior authorization system, who
decides whether a prescribed service, medication, procedure,
or device will be paid for?

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