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9) if the need for skilled services is not certified by a physician or authorized healthcare provider per regulations, what will happen? A) the facility
9) if the need for skilled services is not certified by a physician or authorized healthcare provider per regulations, what will happen?
A) the facility can appeal the QIN-QIO Quality improvement organization
B) The MAC may pay ant claim submitted
C) the services are not coverable under medicare part a
D) an affidavit from the resident can be substituted
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