What is healthcare fraud - Study guides, Class notes & Summaries

ADJUSTER PRO EXAM WITH REVISED ANSWERS (2023) Stu has a collection of rare comic books. He wants to purchase theft insurance for his collection, separate from his home and other property. What term most accurately describes the type of policy Stu would purchase? - CORRECT ANSWER-Monoline Policy Which of the following statements does NOT apply to the Standard Fire Policy? - CORRECT ANSWER-It automatically covers wind and vandalism. Which of the following refers to being restored to the ...

CDR RD Exam Questions & Answers Complete: updated 2023. A 42 year old woman who is 5'10" needs how many grams of protein per day? A. 60 B. 70 C. 75 D. 80 A 49-year-old overweight woman smokes one PPD of cigarettes, has a BP level of 140/85 mmHG and a medical hx of hypertension and hyperlipidemia. What is the best nutrition intervention for this client? A. complex CHO, low sat fat B. complex CHO, high protein C. simple CHO, high protein D. simple CHO, low sat fat A ...

HIPPA Health Insurance Portability and Accountability Act of 1996 and the Healthcare Fraud and abuse control program. Far-reaching program to combat fraud and abuse in healthcare including both public and private health plans. Individuals protected health information Demographic data, name, address, birth date, and SS number. central focus of clinical documentation should be to demonstrate the quality of care provided to the patient with detail and accuracy to facilitate optimum...

Reimbursement Methodologies Questions and Answers 100% Verified What is the difference between direct and indirect reimbursement methods? Direct reimbursement involves payments made directly from the payer to the provider, while indirect reimbursement typically involves patients paying upfront and then seeking reimbursement from their insurance. How does case management impact healthcare reimbursement? Case management focuses on coordinating patient care to improve health outcomes...

If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: 2. manufacturing producer 2 Emergency exits must have which of the following components? 1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way) 2. Exit sign (must be lit), exit access (corridor), and exit (must be double doors) 3. Exit sign, exit access (lit corridor)...

WGU C426 Healthcare Values and Ethics Rated A+ Normative Ethics Attempt to determine what moral standards should be followed so that human behavior and conduct may be morally right. Consequential Ethics Theory of ethics emphasizes that the morally right action is whatever action leads to the maximum balance of good over evil. - What will be the effects of each course of action? - Will they be positive or negative? - Who will benefit? - What will do the least harm? Utilitarian Ethics The conce...

WGU D220 Nursing Informatics Final Exam Questions and Answers 100% Pass What is the National Health Information Network means to advance healthcare information technology Gaols of the NHIN to develop a nationwide interoperable healthcare information technology infrastructure and a strategic plan to guide implementation in both public and private sectors Issues with NHIN Politics Fear of Change Competition Lack of agreement standards What is HITECH Health Information Technology for Economis & ...

Facts about the Exam - Correct answer-2 hours long Must pass with 75% Minimum of 50 questions Topics covered on the exam - Correct answer-Nursing Licensure and Regulation in Texas Nursing Ethics Nursing Practice Nursing Peer Review Disciplinary Action The Mission of The Board of Nursing - Correct answer-To protect the People of Texas How does BON fulfill its mission? - Correct answer-1. Makes sure that RNs are competent 2. Regulates the practice of nursing and approves of nursing edu...

The evaluation of coders is recommended at least quarterly for the purpose of measurement and assurance of: A. Speed B. Data quality and integrity C. Accuracy D. Effective relationships with physicians and facility personnel (Ans- Data quality and integrity Coders should be evaluated at least quarterly, with appropriate training needs identified, facilitated, and reassessed over time. Only through this continuous process of evaluation can data quality and integrity be accurately measu...

DE MPJE QUESTIONS AND ANSWERS 2023 how many intern hrs needed for pharmacist licesnure? 1500 - 1000 from hospital and retail - 500 from other areas what is the max amount of opioids a practitioner can prescribe outpatient to an adult patient for the first time or to a minor? 7 days supply Controlled substance authority for NPs can prescribe, administer, dispense, and procure C2-C5 definition of dispensing the interpretation, evaluation and implementation of a prescrib...