Tracy is an RN case manager who interfaces between the Centers ...

[scienceeasy]

Tracy is an RN case manager who interfaces between the Centers for Medicare & Medicaid. Tracy's responsibilities most likely would include:
 
  a. Managing physician-led research.
  b. Monitoring physician documentation of the need for medical care.
  c. Determining which services are designated fee-for-service.
  d. Identifying errors in physician diagnoses.

Question 2

Prescription drugs cannot cause drug abuse.
 
  Indicate whether the statement is true or false

[DHRUVSHAH]

Answer to Question 1

B
Nurse case managers serve as interfaces for the Centers for Medicare & Medicaid Services (CMS) and are key in monitoring compliance with Conditions of Participation (CoP) elements. The case managers routinely monitor for appropriate physician documentation of medical neces-sity and other required CoP elements.

Answer to Question 2

F