Medicare requires that the occupational therapist makes a determination
A) On whether or not the client needs occupational therapy intervention
B) On the frequency, duration, and intensity of occupational therapy services
C) On the level of social support available to the client
D) That the client is able to actively participate in occupational therapy interventions
A
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Match the following:
A) qualified independent contractors (QICs) B) documentation C) subjective, objective, assessment, plan (SOAP) D) administrative law judge (ALJ) E) ERISA F) audit G) peer review H) Civil Practice and Remedies Code I) appeal J) redetermination 1) The examination and verification of claims and supporting documents submitted by a physician 2) The chronological recording of pertinent facts and observations about a patient's health status 3) An objective, unbiased group of physicians that determines what payment is adequate for services provided 4) The submission of additional clinical and other pertinent information to an insurance carrier to overturn a denied or downcoded claim 5) The method of documentation most widely used by physicians for record keeping 6) The law that protects the interests of beneficiaries enrolled in private employee benefit plans 7) The second level of appeal for Medicare claims, during which these entities process reconsiderations of a carrier's redetermination 8) Decision maker at the third level of a Medicare appeal, which includes a hearing 9) The first level of a Medicare appeal in which the carrier is asked to review its initial decision 10) The section of the law that governs refunds of overpayments where no contract language exists
Explain the importance of understanding a personal skill set
What will be an ideal response?
The ________ veins (letter B) empty oxygenated blood into the left atrium.
The head of the malleus
A) is the point of articulation with the incus. B) projects into the epitympanic recess. C) a & b D) none of the above.