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Exam (elaborations)

MOA Compliance, Fraud, and Abuse Exam Questions and Answers 100% Pass

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MOA Compliance, Fraud, and Abuse Exam Questions and Answers 100% Pass Compliance is the process of - meeting regulations, recommendations, and expectations of federal and state agencies that pay for health care services and regulate the industry What is the first step health insurance specialis...

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  • December 23, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medicare certifications
  • Medicare certifications
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KatelynWhitman
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MOA Compliance, Fraud, and Abuse Exam
Questions and Answers 100% Pass


Compliance is the process of - ✔✔meeting regulations, recommendations, and expectations of federal

and state agencies that pay for health care services and regulate the industry


What is the first step health insurance specialists should take toward achieving compliance so they do not

violate laws, which may result in penalties or fines? - ✔✔Identifying the laws that regulate the industry


Indicate whether each of the following situations is one of fraud or abuse.


a. Under the FCA, billing a claim for services not medically necessary


b. changing a figure on an insurance claim form to get increased payment


c. Dismissing the copayment owed by a Medicare patient


d. Neglecting to refund an overpayment to the patient


e. Billing for a complex fracture when the patient suffered a simple break - ✔✔a. Fraud


b. Fraud


c. Fraud


d. Fraud


e. Fraud


The OIG publication that lists guidelines for compliance programs is the - ✔✔Federal Register


CLIA certifies - ✔✔to run a certain level of tests




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