The Medicare Integrity Program includes medical review, which is defined by CMS as a review of claims to determine whether services provided are __________, as well as to followup on the effectiveness of previous corrective actions

a. affordable by patient populations
b. covered by the Medicare program
c. effective for treatment of conditions
d. medically reasonable and necessary


d

Health Professions

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The types of clinical procedures found in a policies and procedures manual vary according to:

A) physician specialty. B) OSHA regulations. C) organizational chart. D) HIPAA.

Health Professions

Complications of ________ include progression to rheumatic fever, with arthritis, nephritis, and inflammation of the endocardium.

What will be an ideal response?

Health Professions

The lymph tissue in the ____ intercepts antigens invading the upper respiratory tract

A) spleen and bone marrow B) appendix and small intestine C) tonsils and adenoids D) Peyer's patches

Health Professions

When is the most common peak period of creativity for people??

A) within five minutes of waking up B) while driving a vehicle C) while listening to classical music D) depends on the individual person

Health Professions