What type of claim denial occurs when the claim is suspended for medical review within the Medicare system?

The answer is B, as claim suspension refers specifically to a situation where the claim is held for further review by Medicare, often to verify the medical necessity or appropriateness of the services provided. This process allows Medicare to evaluate the submitted documentation and ensure that the services billed meet the clinical criteria established in their guidelines. During this suspension, the claim is not processed for payment, and instead, it is pending review until a determination is made.

In contrast, claim rejection typically occurs when a claim is found to be invalid before it even enters the processing system, often due to submission errors or inaccuracies in the information provided. Compliance violations relate to breaches of regulations or rules within the healthcare system but do not specifically denote claims under review. Charity care, meanwhile, refers to services provided for free or at a reduced cost to patients who cannot pay, which is unrelated to the processing of claims in the Medicare system. Therefore, claim suspension encompasses the specific scenario of a claim being held for medical review, making it the appropriate choice.