A Program That Contracts with CMS to Review Medical Necessity

question 42

Multiple Choice

A program that contracts with CMS to review medical necessity and appropriateness of inpatient medical care is known as a

• A) QIO.
• B) PCP.
• C) HMO.
• D) HHS.

Identify the factors considered by courts in cases of first impression.

Understand the concept of binding authority within the legal framework.

Recognize the influence of various legal traditions on American law.

Understand the usage and purpose of RhoGam injections in pregnancy.

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Definitions:

Revenue Recognition Principle

An accounting guideline stating that revenue should be reported when it is earned and realizable, regardless of when the cash is received.

Accounting Period

A specific duration of time, such as a month, quarter, or year, over which financial activities are recorded and reported.

Cash Received

The amount of money taken in by a business during a particular period, including transactions in cash and equivalents.

Calendar Year

A one-year period that begins on January 1 and ends on December 31, used for most general and financial purposes.