UHC Ethics and Compliance Test 2020 Review/ Q&A/ A+ Score Solution.
5 views 0 purchase
Course
UHC Ethics and Compliance
Institution
UHC Ethics And Compliance
UHC Ethics and Compliance Test 2020 Review/ Q&A/ A+ Score Solution. Terms like:
What is the definition of Abuse?
A) Abuse includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources
B) Abuse...
UHC Ethics and Compliance Test 2020 Review/
Q&A/ A+ Score Solution.
What is the definition of Abuse?
A) Abuse includes inaccurate payments for services, such as unintentional
duplicate payments, and can include inappropriate utilization and/or inefficient
use of resources
B) Abuse includes any practice that results in the provision of services that are not
medically necessary
C) Abuse is intentionally misrepresenting or concealing facts to obtain something
of value - Answer: B) Abuse includes any practice that results in the provision of
services that are not medically necessary
Which of the issues below are examples of Fraud, Waste and/or Abuse? (Select 3)
A) The pharmacy splits the original prescription to receive additional dispensing
fees
Page 1 of 8
, B) Using another person's medical insurance information to obtain prescriptions
C) Billing for medical services or procedures that were actually provided or
performed
D) Falsifying signatures or medical records - Answer: A,B & D
Providing objective information about the Medicare program and/or health
improvement and wellness at public venues is the purpose of which of the
following?
A) Formal marketing/sales events.
B) Educational events
C) Personal/individual marketing appointments
D) Informal marketing/sales events - Answer: B) Educational events
Janine, currently enrolled in a 3-star plan, discovers there is a 5-star plan available
where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can
advise Janine of each of the following except:
A) Josh should tell Janine that she can change her current plan to a 5-star plan
since one is available in the area where she lives.
B)Josh should tell Janine that she can only use the 5-star SEP once per calendar
year
C) Josh should tell Janine that the new coverage will start the first month after she
enrolls in the 5 star plan
Page 2 of 8
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 Benzo. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.79. You're not tied to anything after your purchase.
