Health fraud Study guides, Class notes & Summaries

Life and Health Insurance Exam (Missouri) with Verified Solutions Insurance policies are considered aleatory contracts because: 1)they are take it or leave it contracts 2)both parties consent to the contract 3)performance is conditioned upon a future occurence 4)the contract is voidable upon proof of fraud Performance is conditioned upon a future occurence, because there is an element of chance and potential for unequal exchange of value K failed to pay a renewal premium within the time gra...

When auditing operative notes, the auditor will expect to see documentation from all of the following except: - ANSWER Surgical assistants. According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), an outside auditor must sign which of the following agreements prior to reviewing and auditing any medical records? - ANSWER Business Associate Agreement When auditing an ENT practice, you discover the practice uses an EMR. Which of the following options would you loo...

ERISA - Answer- Employee Retirement Income Security Act 1974 SOC Reports - Answer- Service Organization Controls: for external vendors SOC 1 - Answer- Internal Controls & Financial reports; used by auditors SOC 2 - Answer- Security, availability, processing integrity, confidentiality and privacy controls;used by management, regulators, and others under an NDA SOC3 - Answer- Same as SOC2, but available for public use. Tribble V Edison - Answer- Landmark court case re fiduciary resp...

The dental assistant is solely responsible for any acts or procedures performed in the dental office: True or False? (Ans- False A dental assistant's registration may be revoked for all EXCEPT the following: A. Violation of the rules of the SBDE B. Violation of the Texas Dental Practice Act C. Other applicable rules or statuses affecting radiological procedures in Texas D. Violations do not apply to dental assistants (Ans- D. Violations do not apply to dental assistants Which of t...

CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED. The OIG consists of 6 departments: - -1.Immediate OIG — responsible for the overall fulfillment of the OIG's mission and for promoting effective management and quality of the agency's processes and products. 2.Office of Audit Services — performs independent audits of HHS programs and/or HHS grantees and contractors to examine their performance. 3.Office of Evaluation and Inspections — conducts national evaluations...

Bail Bonds Louisiana Exam With 100% Correct Answers 2023 Acquit - Correct Answer-to set free:to judicially discharge from an acquisition;to clear (a person) of a criminal charge Bail Enforcement - Correct Answer-the apprehension or surrender of a principal by a natural person who is released on bail or who has failed to appear at and state of the proceedings to answer to the charge before the court, in which he may be prosecuted obligor - Correct Answer-the party who owes the duty or debt...

D220 Study Guide – If you see a ** by something, then that was seen on a D220 test by SOMEONE. According to some, there are handful of questions on the OA from the PA. Access Levels- User can only see information that they access to. (CNA cannot see everything an RN can) Administrative Safeguards of Electronic Health Information- Restricting access of all authorized users of the EHR according to their position within the healthcare system Admission-Transfer-Discharge (ADT) System - Classi...

Test Bank for Law and Ethics in the Business Environment 9e 9th Edition by Terry Halbert, Elaine Ingulli. Full Chapters test bank included CHAPTER 1 Law, Ethics, & Business: An Introduction Freedom versus Responsibility: A Duty to Rescue? Yania v. Bigan (Pennsylvania, 1959) Justifying the “No Duty to Rescue” Rule ■ John Stuart Mill, “On Liberty” Radical Change? ■ Steven J. Heyman, “The Duty to Rescue: A Liberal-Communitarian Approach” Podias v. Mairs (New Jersey, 200...

TEST BANK Enterprise Risk Management S - The Marketplace to Buy and Sell your Study Material 1 RSK2601 TEST BANK Question 1 Which one of the following is a benefit of effective risk and opportunity management? 1) Improved profit certainty 2) Increased shareholder value 3) Increased stakeholder confidence Correct option 3 4) Lower economic returns Explanation Improved cost certainty, sustainable shareholder value, increased stakeholder confidence and higher economic returns...

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...