Answer the following statements true (T) or false (F)
1. Programs of All-Inclusive Care for the Elderly (PACE) providers agree to make all services available to beneficiaries without any cost-sharing requirements.
2.States determine the amount and duration of Medicaid services and can set limits based on medical diagnoses or conditions.
3. Hospitals are NOT permitted to submit interim claims for Medicaid patients while they are still hospitalized.
4. If a claim is denied by Medicaid because prior authorization was NOT obtained, the physician can bill the patient for the services.
5. Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.
1.TRUE
2. FALSE
3. FALSE
4. FALSE
5. TRUE
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Which of the following is a sign of the MOST severe respiratory distress in a 1-year-old pediatric patient?
A) Grunting B) Respiratory rate greater than 60 C) Wheezing D) Decreased muscle tone
It is appropriate to control the filling of an evacuated blood-collection tube manually.
Answer the following statement true (T) or false (F)
Which of the following would NOT be found on the CMS website?
A. Part D prescription drug benefit compliance guidance B. Medicare coverage information and policies C. Information and guidance on billing and coding issues D. Safe harbor provisions under the anti-kickback statute
Effectively performed CPR is a crucial treatment for a patient in cardiac arrest because it:
A. often converts V-Fib to a perfusing rhythm. B. maintains myocardial and cerebral perfusion. C. enhances perfusion to the body's periphery. D. prevents the patient from developing asystole.