Doe diagnostics - Study guides, Class notes & Summaries

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, ...

CE Mastery Exam - Medicare FWA, Top Exam Questions and answers, Verified. 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? a.Do what your immediate supervisor asked you to do and adjust or add ...

2024 Medicare+ Fraud, Waste, and Abuse Already Rated A+ 1. You are tasked with submitting a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for payment, and your supervisor tells you to ignore the Sponsor's process and 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). 2. You are performing a regular inventory of the controlled substances ...

2024 Medicare+ Fraud, Waste, and Abuse Practice 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 departme...

AHIP FWA EXAM | Questions & Answers (RATED 98%) | 2022/ 2023 Latest Update Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? 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 bene...

A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? - Answer- Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid. A. Statistical Sampling B. Rat-Stats ...

Combating Medicare Parts C and D Fraud, Waste, and Abuse FWA – Top Questions and answers. Verified. Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting fraud, waste, and abuse (FWA)? - -Deportation You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - -Follow your pharmacy's procedures. Your job is to submit a risk diagnosis to the Cent...

CHC Auditing & Monitoring Questions and Answers 100% Verified A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or...

AHIP FWA Questions and Answers with Certified Solutions 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 a law or regulation prohibiting Fraud, Waste, and Abuse (FWA)? 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 bene...

AHIP FWA Study/Test Prep questions and answers graded A+ by experts 2024/2025