Multiple Choice
Identify which of the following is the organization (composed of physicians and other healthcare professionals) established by TEFRA to review quality of care and appropriateness of admissions,readmissions,and discharges for Medicare and Medicaid patients.
A) Managed care organization (MCO)
B) Peer review organization (PRO)
C) American Medical Association (AMA)
D) Resource Utilization Group (RUG)
Correct Answer:

Verified
Correct Answer:
Verified
Q53: The federal payment rate adjustment for LTCH
Q54: Before disclosing a patient's protected health information
Q55: Services provided under the hospital outpatient prospective
Q56: The basic idea of resource utilization groups
Q57: The basic idea of RUGs is to
Q59: To qualify for IRF PPS rates,an inpatient
Q60: Many different computerized patient accounting systems are
Q61: When treating a typical inpatient in a
Q62: Although reporting formats vary with different patient
Q63: The _ program employs a CMS hierarchical