CDEO Chapter 3 Questions and Answers | 100% Correct
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Course
CDEO
Institution
CDEO
CDEO Chapter 3 Questions and
Answers | 100% Correct
Documentation states that the patient had a "Status post hysterectomy. The patient
presents with a fever." Which of the following would be a compliant question to query? -
Answer️️ -Do you know the cause of the fever?
Operation Restore Tr...
CMS Definition of Fraud - Answer✔️✔️-knowingly making false statements or
misrepresenting facts to obtain an undeserved benefit or payment from a federal
healthcare program
CMS Definition of Abuse - Answer✔️✔️-an action resulting in unnecessary costs to a
federal healthcare program either directly or indirectly
CMS Examples of Fraud - Answer✔️✔️-Billing for Services/Supplies that you know were
not furnished or provided
Altering claim forms and/or receipts to receive a higher payment amount
Billing for services at a level higher than provided or necessary
Misrepresenting the diagnosis to justify payment
Making referrals to certain designated services that are prohibited
CMS Examples of Abuse - Answer✔️✔️-Misusing codes on claims
Charging excessively for service or supplies
Billing for services that were not medically necessary
Failure to maintain adequate medical or financial records
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