Targeted States (California, Flordia, and New York) with a Large

question 327

Multiple Choice

Targeted states (California, Flordia, and New York) with a large Medicare population were included in a Medicare payment recovery demonstration project. This project's purpose was to determine if the use of ___________ is a cost-effective means of ensuring correct payments are provided under Medicare. These are charged with identifying underpayments and overpayments for claims filed under Medicare Part A and Part B. They recoup overpayments from the providers.

• A) clinical data abstraction centers (CDAC)
• B) quality improvement organizations (QIO)
• C) recovery audit contractors (RAC)
• D) peer review organizations (PRO)

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Definitions:

Number Of Symptoms

Refers to the quantitative count of signs or symptoms displayed by an individual which are indicative of a particular condition or disorder.

Type I Schizophrenia

A subtype of schizophrenia characterized by the prominence of positive symptoms such as delusions and hallucinations.

Type II Schizophrenia

A subtype of schizophrenia characterized by a predominance of negative symptoms such as emotional flatness and lack of motivation.

Positive Symptoms

Refers to an excess or distortion of normal functions, often observed in disorders such as schizophrenia, including hallucinations or delusions.