Health care services and procedures covered by Medicare, Medicaid, or Tricare require the health care provider to accept the "____ fee" criteria as 100% payment of the charges.

A. acceptable
B. reasonable
C. customary
D. typical


Answer: B

Health Professions

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Which hormone produced by the thymus plays a key role in the maintenance of normal immune defenses?

A) Thymoxine B) Thymosins C) Thyroxine D) Thymols

Health Professions

Murphy's sign is:

A) bruising around the umbilicus. B) pain produced by pressing under the right costal margin in the presence of an inflamed gallbladder. C) pain produced by pushing 1 to 2 inches above the iliac crest on a line to the umbilicus. D) petechial hemorrhage of the abdominal wall.

Health Professions

Your patient is a three-year-old female who has had vomiting and diarrhea for 24 hours. Which of the following is the best way to gain her cooperation when assessing her vital signs?

A) Avoid explanations, and finish the assessment quickly. B) Ask if you can check her doll to "see how the doll is feeling" before repeating the same procedures on the child. C) Say, "I'm going to take your blood pressure." D) Explain that you want to give her arm a hug.

Health Professions

Reviewing a medical record to ensure that all diagnoses are justified by documentation

throughout the chart is an example of A. peer review. C. qualitative review. B. quantitative review. D. legal analysis.

Health Professions