Which health care plan may conduct random audits of pharmacy records before paying for patient charges?
Blue Cross-Blue Shield (BCBS)
Medicare
Tricare
CHAMPVA
Medicare
Rationale: Medicare may conduct random audits of pharmacy records before paying for patient charges. Health care fraud is a persistent and costly problem, and the CMS estimates that a significant amount of payments are misspent every year.
You might also like to view...
All of the digits allow flexion, extension, adduction, and abduction; however only the thumb allows for _____________
Fill in the blank(s) with the appropriate word(s).
What information is found on the explanation of benefits (EOB)?
What will be an ideal response?
Diathermy should not be used in body areas where metal implants are located because it could cause ____________________
Fill in the blank(s) with correct word
The Rosenhan Study is famous for showing:
A. the power of being labeled schizophrenic inside mental institutions. B. that the best way to predict dangerousness in the emergency room is simply to ask patients if they have previously acted dangerously. C. that psychiatry can't do much for most mentally ill patients. D. the biological causes of mental illness. E. that problems in living are wrongly called mental illnesses.