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Health science

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Health science

Confounding

What is confounding?  How do we attempt to control for confounding in an RCT? Cohort? case control study?

The Medical Spend-Down

Calculate the Medical Spend-Down: Imagine that Jim has a job that doesn’t provide him with insurance, and he can’t afford it any other way.   Jim lives in a state that only allows people to join Medicaid if they earn less than $1,500 per month.   Jim actually earns $3,500 per month.   Jim slips […]

The CMS “Never Event”.

Describe the CMS “Never Event”. Describe three Non-CMS Quality Initiatives. Briefly describe the confidentiality protections for patient safety. The Final Rule defines “disclosure” as?

Lack of Medical Necessity

The appeals letter must be addressed to the following: Ms. Jane Doe, Claims Examiner, Division of Appeals, Suite 333 Plaza Managed Care Plan 555 Independence Court New York, NY 10012 Compose a properly formatted, block style letter to the third party representative indicated above. This letter should address the denial, state what documentation is attached […]

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