A. Prior to performing a statutorily excluded procedure for a Medicare beneficiary.
B. Prior to performing a procedure that may be denied due to medical necessity for a Medicare
beneficiary.
C. Prior to submitting a claim to Medicaid for a non- service.
D. After performing a procedure and finding it is denied. - Answer✔✔-B. Prior to performing a
procedure that may be denied due to medical necessity for a Medicare beneficiary.
Under a Corporate Integrity Agreement (CIA), how many claims must be randomly selected to
review to determine the financial error rate?
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