Author Question: Federal regulations require Medicaid to establish and maintain a(n) __________ program, which ... (Read 242 times)

RODY.ELKHALIL · **on:** Jun 27, 2018

Federal regulations require Medicaid to establish and maintain a(n) __________ program, which safeguards against unnecessary or inappropriate use of Medicaid services or excess payments and assesses the quality of those services.
a. early and periodic screening, diagnostic, and treatment
b. eligibility verification
c. recipient eligibility verification
d. surveillance and utilization review

Question 2

A(n) __________ claim is one that Medicaid should not have originally paid, and results in a deduction from the lump-sum payment made to the provider.
a. adjusted
b. appealed
c. filed
d. voided