Which of the following is NOT one of the payment mechanisms created by Medicare to discourage the transfer of patients between the LTCH and other facilities for financial rather than clinical reasons??
A) The "Interrupted Stay" Rule
B) ?The "5 Percent" Rule
C) The "10 Day" Rule
D) ?The "25 Percent" Rule
C
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Which of the following statements is true regarding child abuse injuries of special needs patients?
A) Rib fractures in young children suggest child abuse. B) Shaken baby syndrome never causes death of the infant. C) Head injuries are usually the first sign in child abuse. D) Splash burns indicate child abuse.
Answer the following statements true (T) or false (F)
1) An audit done within a medical practice to make sure it is compliant is an external audit. 2) A prospective audit would typically be done on claims that require an attachment or more information. 3) A retrospective audit is conducted before sending claims to an insurance company. 4) If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded. 5) All third-party payers follow the same rules and policies for submitting a clean claim.
The left kidney lies __________ to the right kidney.?
Fill in the blank(s) with correct word
A 56-year-old male complains of difficulty breathing. His wife tells you that he complained of chest discomfort a few days prior, but would not allow her to call EMS. Your assessment reveals rales in the apices and bases of both lungs. This patient's clinical presentation is MOST consistent with:
A. chronic bronchitis. B. acute pulmonary embolism. C. cardiogenic pulmonary edema.