Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases (such as moderate allergic reactions), some autoimmune diseases, and (at higher doses) some types of cancer, but it has significant adverse effects.
denial of claim. DEFINITION: Denial of claim is the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for health care services obtained from a health care professional.
If a claim is billed with CPT code 96416 when a patient is receiving the same chemotherapy drug that was previously set up and administered and then billed using CPT code 96416, then the second claim will be considered not medically necessary and will be denied as a provider write-off.