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2024 Medicare+ Fraud, Waste, and Abuse Study Questions and Answers (100% Pass) $9.99   Add to cart

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2024 Medicare+ Fraud, Waste, and Abuse Study Questions and Answers (100% Pass)

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2024 Medicare+ Fraud, Waste, and Abuse Study Questions and Answers (100% Pass) Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate superviso...

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  • August 27, 2024
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SophiaBennett
©SOPHIABENNETT@2024-2025 Monday, August 19, 2024 12:35 AM

2024 Medicare+ Fraud, Waste, and Abuse Study
Questions and Answers (100% Pass)

Your job is to submit a risk diagnosis to the Centers for Medicare &
Medicaid Services (CMS) for the purpose of payment. As part of this job,
you use a process to verify the data is accurate. Your immediate supervisor
tells you to ignore the Sponsor's process and to adjust or add risk diagnosis
codes for certain individuals. What should you do? - Answer✔️✔️-Report
the incident to the compliance department (via compliance hotline or other
mechanism)

You are performing a regular inventory of the controlled substances in the
pharmacy. You discover a minor inventory discrepancy. What should you
do? - Answer✔️✔️-Follow your pharmacy's procedures.

Which of the following requires intent to obtain payment and the
knowledge the actions are wrong? - Answer✔️✔️-Fraud

A person drops off a prescription for a beneficiary who is a "regular"
customer. The prescription is for a controlled substance with a quantity of
160. This beneficiary normally receives a quantity of 60, not 160. You
review the prescription and have concerns about possible forgery. What is
your next step? - Answer✔️✔️-Call the perscriber to verify the quantity

You are in charge of paying claims submitted by providers. You notice a
certain diagnostic provider ("Doe Diagnostics") requested a substantial
payment for a large patient group. Many of these claims are for a certain

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