2) Payment Error Prevention Program Causes Effects Treatment Abuse is cruelty, violence, or demeaning or invasive behavior from one person to another person or animal, causing physical, sexual, and psychological or emotional harm. billing for services that are not medically necessary, improperly using billing codes to increase reimbursement, bills Medicare for services they have not provided, bills for services different from the care they give to patients, pays for referrals of Federal healthcare program beneficiaries, continuing to bill Medicare for rented durable medical equipment (DME) after their return, advising people that Medicare will pay for a service or supply when this is not true, using a stolen Medicare number or card to submit fraudulent claims, billing for a doctor appointment that a person did not attend, reviewing all Medicare Summary Notices for errors, and reporting anything that looks wrong or suspicious to Medicare, checking statements from Medicare Advantage plans, as they should show all a persons services and prescriptions, comparing appointment dates and the type of health services received with the statements received from Medicare, checking all receipts and statements for possible mistakes, calling Medicare at 1-800-633-4227, or 1-877-486-2048 for TTY users, contacting the Senior Medicare Patrol (SMP) resource center at 877-808-2468, contacting the Inspector General fraud hotline at 1-800-447-8477, doctor or healthcare providers name and any identifying information, service or item in question and when it was given or delivered, dollar amount approved and paid by Medicare, the date on the Medicare Summary Notice or claim. b) narcotics There are many ways to commit Medicare abuse or fraud. c) ya 19 years of age or younger c) being unlikely to seek help for alcoholism Sexting is fun and flirty and there are no laws against it. a) 50% 3) 10 years True. b) sudden infant death syndrome What percentage of K-12 students are children of immigrants. 1) Security management Which of the following is the correct order for the CERT process? In some cases this cause wheezing, faintness of breath, and a rapid heat beat especially in people with allergic reactions. Solved All of the following are examples of abuse, except - Chegg It can also refer to an action or practice that fails to offer people services that are medically necessary. Knowingly billing for a service that the provider did not furnish 2. which code set does she use to report procedure codes? 1) Analysis of standard practices. Some examples are offensive jokes of a sexual nature, unwanted sexual advances, excessive and unwelcome flirting, requests for sexual favors, suggestive or obscene emails, and derogatory comments in a sexual context. All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physician's order (B) leaving a client alone in a bathtub (C) threatening to withhold a client's meals (D) leaving a client in a wet and soiled bed ( A ) restraining a client according to a physician 's order ( 26. b) inhalation b) expansion of the blood vessels in the eye a) women absorb about 30% more alcohol into their bloodstream than men do B. An inquiry regarding harrassment in schools should be prompt, thorough and impartial unless the victim is lesbian or gay. c) it increases a student's risk of misusing or abusing alcohol during college Course Hero is not sponsored or endorsed by any college or university. Medicare abuse is an act that results in unnecessary costs, indirectly or directly, to the Medicare program. The insurance specialist should. About what percentage of the homeless population is comprised of families? For example, if a doctor or other healthcare provider: Other Medicare fraud possibilities include when a person does any of the following: Fraud schemes range from single-person enterprises to a wide range of activities committed by large institutions. As part of the administrative simplification provision of HIPAA, which of the following unique identifiers is assigned to third-party payers? d) adrenaline, drug users develop ________ to a drug overtime which means they need more of the drug to produce the same effect Which type of audit report are you likely to issue? Question 8. Why should we know what to do in an emergency situation? Mary, a coding supervisor, is doing an audit on gallbladder surgeries. Emotional Abuse Signs and Symptoms An insurance company calls the office to request information about a claim. The CPA will state in which section of the audit report that the firm is registered with the PCAOB? 2) Payer a) they have never heard that smiling can kill you c) sleep disturbances bob smokes he feels a sense of pleasure. Lacking sufficient clothing for the weather. c) alertness d) binge drinking, Having a BAC of ________ or greater will qualify you for a DWI arrest. Critical Audit Matters b. 4) 5 years, The intentional deception or misrepresentation in order to collect unauthorized payments is known as d) LSD, the most popular mind altering drug in the world is 4) Identify opportunity for additional reimbursement. b) female college students A . 4) U.S. Attorney General. d) all, the tobacco in one cigar can contain as much tobacco in ______ cig (s) Module 11 Flashcards | Quizlet Organized crime groups can also falsely represent themselves as Medicare providers or suppliers. a) birth defects b) liver a) depressants B) there will be provider screening. Therefore, the facility. suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. d) users can't develop a tolerance to the drug, PCP was originally developed as If your friend is in danger or going to harm themselves or others, what must you do immediately? c) drug tolerance Medicare abuse is generally when illegal practices cause unnecessary billing costs for the insurance program. except a) increased pleasure from engaging in the behavior b) denial c) continued to use despite negative consequences After the physician orders medications, Olga administers them to the patient. Browse over 1 million classes created by top students, professors, publishers, and experts. c) an anesthetic 1) National Provider Identifier (NPI) a) asthma a) cancer c) dopamine c) african americans * 2. b) seeking intoxication without side effects You're shocked and frightened by what you see or what you hear. a) experiencing withdrawal when the drug is inaccessible d) being alcoholic by age 21, when colin was 6, his father died from alcohol poisoning. Fraud, Waste, and Abuse | Corporate Quiz - Quizizz All of the following situations are examples of abuse or neglect EXCEPT: a) restraining a client according to a physician's order b) leaving a client alone in the bathtub c) threatening to withhold a client's meals d) leaving a client in a wet and soiled bed See answer Advertisement d) impaired cognitive ability, which of the following is not a central nervous system stimulant? b) motivational enhancement d) lifestyle changes, well or i he following are reasons for young adults to start smoking except that 1) The overpayment was discovered two years or more after the year of payment. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. d) nausea, inhalants include b) memory loss Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Choose the correct choice. All of the following examples show potential negative - Brainly All of the following are examples of bullying except, Overall, since 1960, the teen birth rate has, 14 times more likely to make a suicide attemot, If a teachers suspects a student is suicidal, she should, Data shows that substance abuse has increased for all of the following except, Nonattendance of compulsory education is called. https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-report-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-spot-medicare-fraud, https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf, https://www.nhcaa.org/resources/health-care-anti-fraud-resources/the-challenge-of-health-care-fraud/, https://oig.hhs.gov/publications/docs/hcfac/FY2019-hcfac.pdf, A safer blood thinner? a) there is no evidence that "light" cigs provide any health benefits 4) Overcharging for services. Emotional Abuse: Definitions, Signs, Symptoms, Examples c) drinking water or a sports drink the next moribund 4) Mutually exclusive edits. this is likely due to the release of large amounts of b) 60% which of the following illicit drugs is most popularly used in the US? d) decreased heart rate, long term effects of marijuana may include all of the following except b) stomach True. 1) Security program. 4) Utilization Review Act, The recognized difference between fraud and abuse is the __________. b) it has no effect on the student's drinking habits during college Which of the following could be considered fraud, waste, or abuse? d) completing the required course of medication, the prescription drugs most common misuses are d) MDMA, the physiological effects of marijuana include all of the following except Overall, the statistics show that the level of substance abuse in children and teenagers is. c) fraternity and sorority members Experts are tested by Chegg as specialists in their subject area. The cereal choices are: Fiber One, a cereal that is designed and advertised as healthy, Cheerios, a combination of healthy and tasty. b) half a pack of that the child may have been physically abused? Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. Upcoding is: a. Some of the laws governing Medicare Parts C and D fraud, waste, and abuse (FWA) include the Health Insurance Portability and Accountability Act (HIPAA), the False Claims Act, the Anti-Kickback Statute, and the Health Care Fraud Statute. It is usually treated by following the RICE method (Rest, Ice, Compression, Elevation). a) high levels of dopamine being released in the brain It would be helpful to know whether the causes are universal or do they vary from country to country. All of the following are signs of physical abuse except the child encourages interaction with adults According to the Urban Institute, the high school completion rate in the United States is approximately 65% If a teachers suspects a student is suicidal, she should be willing to listen, not lecture twice as likely to commit suicide as those who aren't. 3) Voluntary compliance program. d) treating attention deficit disorder, which of the following stimulant drugs is used as a prescription drug to treat ADHD and chronic fatigue? (check all that apply) (mark all correct answers), Allow each person to share his or her opinion. Case law is based on court decisions that establish precedent, and is also called __________ law. The child encourages interactions with adults. c) they include allergy pills and cold medicines c) the skin b) taking pain reliever immediately after drinking Billing for services that were not furnished and misrepresenting diagnoses to justify payment, Improper billing practices that result in Medicare payment when the claim is the legal responsibility of another third-party payer, The 66-year-old patient was treated in the emergency department for a fractured arm. this type of counseling is called c) stimulants a) nicotine d) 25-30, which of the following ethnic groups has the highest percentage of current drinkers? a) a diet drug There is a bewildering number of breakfast cereals on the market. 3) Column 1/column 2 edits. The following can be considered fraud, except: . b) bronchitis and other respiratory problems Question 12 1 out of 1 points Examples of post-sentencing services available to victims of crime include all of the following EXCEPT: . c) epinephrine Destruction or alteration of patient records, including fraudulent charting and/or signatures and/or replacement of records with intent to mislead or deceive. An order of the court that requires a witness to appear at a particular time and place to testify is called a(n): Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? All of the following are examples of discrimination except. d) they don't present any of the challenges associated with prescription drugs, combining acetaminophen and alcohol can lead to 2) Subpoena a) alcoholism She scans the patient's wristband and then scans the medication to record the, 2) Roni is a CDM charge analyst at community hospital. Which CDI metric measures the percent of time a physician responds to a CDI query? d) the psychoactive effects of a drug to subside, when a person takes two or more drugs at once, the physiological effects are likely to be greater if the drugs exhibit c) she will have a greater chance of quitting Remaining silent on the issue to avoid offending students. The child shrinks at the approach of adults. A CPA is auditing financial statements of an issuer. c) small intestine a) needing approval The termination date is set within 10 weeks of anticipated termination. d) benzodiazepines, all of the following are examples of depressants except 5. Indicators of Child Abuse or Maltreatment/Neglect 2) Administrative simplification 3) Stark II laws 3) Decrypted This is an example of. a) cigar smokers d) it encourages the student to drink responsibly during college, blood alcohol content (BAC) is affected by which of the following 4) Interrogatory, Which act of legislation requires Medicare administrative contractors to attempt the collection of overpayments made under the Medicare or Medicaid programs? c) .06% All of the following are examples of discrimination, All of the following are signs of physical abuse, the child encourages interaction with adults. (2019). what subtype is colin? Tips for negotiating a conflict include which of the following? How do I check on my Medicare application? c) bidi smokers have a higher cancer risk Multiple Choice Quiz - Oxford University Press c) sensitivity If you are receiving multiple, unwanted text messages from an individual you are a victim of which type of abuse? c) abstinence answer choices. b) increased energy a) 1 We reviewed their content and use your feedback to keep the quality high. Which term describes an individual's right to keep health care information from being disclosed to others? 1) Secure Is the ketogenic diet right for autoimmune conditions? Medicare abuse and fraud are unlawful practices that may result in unnecessary costs billed to the insurance program. b) a person's gender 2) Medicare administrative contractor b) asthma The results of the audit revealed that Happy Hospital's, coders were reporting codes that indicated more complex services than those that were, documented in the medical record. a) caucasians (2020). d) younger smokers, nicotine activates the pleasure center of the brain and raises levels of neurotransmitter called c) cocaine The spouse is the primary policyholder on a policy for which his wife is named as a dependent. All of the following are ways that students are different except, Correct all of the above are ways that students are different. a) headaches This includes: If a person is enrolled in a Medicare Advantage plan and suspects Medicare abuse or fraud, they can also call the Medicare Drug Integrity contractor at 1-877-772-3379. This may occur when a person feels like they are losing control over something.
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