Doe diagnostics - Study guides, Class notes & Summaries

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - Answer-Fraud Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting Fraud, Waste, and Abuse (FWA)? - Answer-Deportation A person comes to your pharmacy to drop 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 qua...

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

ACA Section 1557, and the Final Rule interpreting it as drafted by the Obama Administration, differs from earlier legislation in providing broader protection against discrimination based on - sex. Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual's age - charge higher premiums ACA Section 1557 rules for disability concern - Policies and procedures, physical access, and communication As a result of violations of ACA Section 1557 nondiscriminati...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - correct answer Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - correct answer Deportation A person comes into your pharmacy to drop 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 rec...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - Deportation A person comes into your pharmacy to drop 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 16...

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? Report the incident to the compliance department (via compliance hotline or other mechanism) You are performing a regular inventory of the contr...

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? Report the incident to the compliance department (via compliance hotline or other mechanism) You are performing a regular inventory of the contr...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - Deportation A person comes into your pharmacy to drop 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 16...

COPD is airflow limitation that is not fully reversible t/f - True __________ is characterized by reversible airflow obstruction - Asthma Destruction and permanent enlargement of airspaces distal to terminal bronchioles characterized by destruction of alveoli without obvious fibrosis and hyperinflation/air trapping is known as: A. COPD B. Asthma C. Chronic Bronchitis D. Emphysema - D. Emphysema Sputum production daily for 3 or more months for 2 or more years is characteristic of ________...

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? - Answer️️ -Report the incident to the compliance department (...