Fraud abuse regulations Study guides, Class notes & Summaries
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CBCS Study Guide 2023
- Exam (elaborations) • 38 pages • 2023
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Medical Billing & Coding as a Career - *Claims assistant professional or claims 
manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, 
*Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, 
*Medical Biller, *Medical & Financial Records Manager, * Billing & Coding 
Specialist 
What are Medical Ethics? - Standards of conduct based on moral principle. They 
are generally accepted as a guide for behavior towards pt's, dr's, co-workers, the 
gov, ...
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CBCS Exam Study Guide Questions and Answers (2024) (Verified Answers)
- Exam (elaborations) • 52 pages • 2023
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CBCS Exam Study Guide Questions and Answers (2024) 
(Verified Answers) 
Medical Billing & Coding as a Career - ANSWER️️ *Claims assistant professional or 
claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims 
Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, 
*Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist 
What are Medical Ethics? - ANSWER️️ Standards of conduct based on moral 
principle....
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CPB Final Exam Questions and Answers with complete solution
- Exam (elaborations) • 16 pages • 2023
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A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one 
patient to justify services on multiple other patients' claims. The office manager brought the civil suit. 
What type of case is this? - Qui Tam 
In which of the following circumstances may PHI not be disclosed without the patient's authorization or 
permission? - An office receives a call from the patient's husband asking for information about his 
wife's recent office visit. 
According t...
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CBCS Exam Study Guide Questions and Answers 2023
- Exam (elaborations) • 39 pages • 2023
- Available in package deal
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- $11.00
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Medical Billing & Coding as a Career - *Claims assistant professional or claims 
manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, 
*Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, 
*Medical Biller, *Medical & Financial Records Manager, * Billing & Coding 
Specialist 
What are Medical Ethics? - Standards of conduct based on moral principle. They 
are generally accepted as a guide for behavior towards pt's, dr's, co-workers, the 
gov, ...
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NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS
- Exam (elaborations) • 24 pages • 2024
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NCCT REVIEW LAW AND ETHICS EXAM 
QUESTIONS AND ANSWERS 
1. Which of the following activities is an example of abuse rather than fraud? 
A. upcoding 
B. misrepresenting the diagnosis 
C. inadvertent coding errors 
D. billing for services not rendered - Answer-inadvertent coding errors 
Rationale 
Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. 
Upcoding, misrepresenting the diagnosis, and billing for services not rendered are 
examples of fraud. Inadvertent ...
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CRCR Practice Questions and Answers, Multiple Choice, with Complete Verified Solutions
- Exam (elaborations) • 25 pages • 2023
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CRCR Practice Questions and Answers, Multiple Choice, with Complete Verified Solutions 
 
The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? 
A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. 
B. Pursue extraordinary collection activities with all patients eligible for financial assistance. 
C. Implement a financial assistance program for uninsured and underinsured patient...
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WGU C426 Healthcare Values and Ethics Rated A+
- Exam (elaborations) • 24 pages • 2023 Popular
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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...
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HCCA- CHC STUDY QUESTION REAL TEST BANK TEST WITH 700+ QUESTION AND CORRECT DETAILED ANSWERS RATED A GRADE.
- Exam (elaborations) • 130 pages • 2023
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HCCA- CHC STUDY QUESTION REAL TEST BANK TEST WITH 700+ QUESTION AND CORRECT DETAILED ANSWERS RATED A GRADE. 
True or False: 
The ACA requires that all providers adopt a compliance plan as a condition of 
enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - 
ANSWER-True 
ref. ACA section 6102 
According to HHS-OIG - what are three important reasons for proper documentation in 
Compliance? (hint: protections) - ANSWER-1.Protect our programs 
2.Protect your patient...
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CRCR Practice Test | Questions with 100% Correct Answers | Verified | Latest Update 2024 | 35 Pages
- Exam (elaborations) • 35 pages • 2023
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The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? 
A. Complete a community needs assessment and develop a discount program for patient balances after 
insurance payment. 
B. Pursue extraordinary collection activities with all patients eligible for financial assistance. 
C. Implement a financial assistance program for uninsured and underinsured patients. 
D. Discount all charges to self-pay patients to an amount generally billed to all oth...
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CCS Exam Prep 2023/ 2024 |Complete Guide with Questions and Answers (Verified Answers)
- Exam (elaborations) • 139 pages • 2023
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CCS Exam Prep 2023/ 2024 |Complete Guide with Questions and Answers (Verified Answers) 
 
Q: A patient is admitted to the hospital for a coronary artery bypass surgery. Postoperatively, he develops a pulmonary embolism. The present on admission (POA) indicator is 
 
 
Answer: 
N = not present at the time of inpatient admission 
 
 
 
Q: In assigning E/M codes, three key components are used. These are 
 
 
Answer: 
history, examination, and medical decision making 
 
 
 
Q: Under APCs, payment ...
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