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The Medicare Integrity Program Includes Medical Review, Which Is Defined

Question 41

Multiple Choice

The Medicare Integrity Program includes medical review, which is defined by CMS as a review of claims to determine whether services provided are __________, as well as to followup on the effectiveness of previous corrective actions.


A) affordable by patient populations
B) covered by the Medicare program
C) effective for treatment of conditions
D) medically reasonable and necessary

Correct Answer:

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