« previous next »

Author Question: CMS develops national coverage determinations on an ongoing basis, and __________ create(s) edits ... (Read 28 times)

newyorker26

  • Hero Member
  • *****
  • Posts: 536
on: Jun 27, 2018
CMS develops national coverage determinations on an ongoing basis, and __________ create(s) edits for NCD rules, which are local coverage determinations.
 a. BlueCross BlueShield
  b. Medicaid
  c. Medicare administrative contractors
  d. third-party payers

Question 2

The Medicare coverage database (MCD) is used by Medicare administrative contractors,
  providers, and other health care industry professionals to determine whether a procedure or service is __________ for the diagnosis or treatment of an illness or injury.
 a. billed at the appropriate level
  b. preauthorized by the contractor
  c. reasonable and necessary
  d. usual, customary, and reasonable


Sassygurl126

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jun 27, 2018
Answer to Question 1

c

Answer to Question 2

c


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Pacific Rim National Park, British Columbia Pacific Rim National Park, British Columbia
Rocky Mountain elk in Yellowstone National Park Rocky Mountain elk in Yellowstone National Park
Four cheetahs at Serengeti National Park, Tanzania Four cheetahs at Serengeti National Park, Tanzania
Video: Role of ATP in muscle movement

For a complete list of videos, visit our video library