Which health care plan may conduct random audits of pharmacy records before paying for patient charges?
Blue Cross-Blue Shield (BCBS)
Medicare
Tricare
CHAMPVA
Medicare
Rationale: Medicare may conduct random audits of pharmacy records before paying for patient charges. Health care fraud is a persistent and costly problem, and the CMS estimates that a significant amount of payments are misspent every year.
Health Professions
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Heliox has been used on a limited basis to treat patients with which of the following?
a. Hyperventilation c. Airway obstructions b. Thermal burns d. Upper respiratory infections
Health Professions
Barry needs to specify the clinical setting for an encounter in the E&M Calculator. Where does he need to go?
A) The Parameters tab B) The encounter note C) The Analysis tab D) The Calculated Codes tab
Health Professions