Author Question: The third level of a Medicare appeal is a request for: review by a qualified independent ... (Read 109 times)

jwb375

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The third level of a Medicare appeal is a request for:
 
  review by a qualified independent contractor.
 
  redetermination by the carrier.
 
  review by an administrative law judge.
 
  review by the state insurance commissioner.

Question 2

Diagnosis Related Group (DRG) classification takes into account all of the following criteria EXCEPT:
 
  age and sex of the patient.
 
  social status and family support.
 
  comorbidity and complications.
 
  principal and secondary diagnoses.


trog

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Answer to Question 1

Answer: review by an administrative law judge.

Answer to Question 2

Answer: social status and family support.



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jwb375

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trog

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