Which organization is responsible for admission review, readmission review, procedure review, day and cost outlier review, DRG validation, and transfer review?
A) QIO
B) APC
C) PPS
D) MRO
Correct Answer:
Verified
Q1: The rule stating that when a patient
Q3: The person who interviews the patient and
Q4: When a patient who has a managed
Q5: The claim form used for outpatient hospital
Q6: Confidential information about patients should never be
Q7: The hospital insurance claim form must always
Q8: When criteria are used by the hospital's
Q9: Daily progress notes are entered on the
Q10: A review for additional Medicare reimbursement is
Q11: On the CMS 1450 (UB-04) claim form,
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