Exam (elaborations)
Intro Exam #1 Pt. 2 (Fraud, abuse and waste) with 100% correct answers 2024
- Course
- Institution
Intro Exam #1 Pt. 2 (Fraud, abuse and waste) with 100% correct answers 2024
[Show more]
Content preview
IntroExam
#1
Pt.
2
(Fraud,
abuse
and
waste)
with
100%
correct
answers
2024
What
is
the
major
distinction
between
fraud
and
abuse?
Fraud
involves
intentional
deception
or
misrepresentation
while
abuse
does
not
Penalties
under
the
false
claims
act
are:
monetary
penalties
of
between
$5500
and
$11000
per
claim,
plus
3
times
the
damages
sustained
by
the
government
documentation
is
important
for
which
reasons
(3)
-it
serves
as
record
of
pt
care
-it
supports
the
medical
necessity
of
claims
submitted
-it
serves
as
a
communication
vehicle
among
providers
what
could
be
considered
fraud?
(3)
-billing
for
services
not
rendered
-upcoding
services
-using
unqualified
individuals
to
provide
services
T/F
changing
the
contents
of
medical
records
can
escalate
the
matter
from
an
audit
to
a
criminal
act
True
What
is
not
an
acceptable
billing
practice?
Aquatic
therapy
does
not
require
1-on-1
contact
btw
PT/PTA
and
pt
in
order
to
be
billed
as
individual
therapy
A
violation
of
the
Anti-kickback
Statue
could
include:
either
offering
or
receiving
any
form
of
payment
in
exchange
for
referrals
of
medicare
and
medicaid
patients
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACTUALSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now