Cms fraud definition Study guides, Class notes & Summaries
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CMS Fraud Definition - ANSWER Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Fraud Definition - ANSWER Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - ANSWER An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Abuse Definition - ANSWER An action th...
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CMS Fraud Definition - correct answer Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - correct answer An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - correct answer Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a higher ...
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CMS Fraud Definition - Answer ️️ Making false statements or misrepresenting facts to obtain 
an undeserved benefit or payment from a federal healthcare program 
CMS Abuse Definition - Answer ️️ An action that results in unnecessary costs to a federal 
healthcare program, either directly or indirectly
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CPMA Exam Questions and Answers Latest Updated 2023 
CMS Fraud Definition 
Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
 
 
CMS Abuse Definition 
An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
 
 
CMS Examples of Fraud 
Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a ...
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CMS Fraud Definition - correct answer Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - correct answer An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - correct answer Billing for services and/or supplies that you know were not furnished or provided, al...
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CMS Fraud Definition - answer=Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - answer=An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - answer=Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a higher payment amount, billing a Medi...
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CMS Fraud Definition - Answer ️️ Making false statements or misrepresenting facts to obtain 
an undeserved benefit or payment from a federal healthcare program 
CMS Abuse Definition - Answer ️️ An action that results in unnecessary costs to a federal 
healthcare program, either directly or indirectly 
CMS Examples of Fraud - Answer ️️ Billing for services and/or supplies that you know were 
not furnished or provided, altering claim forms and/or receipts...
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Documentation states that the patient had a "Status post hysterectomy. The patient presents with a fever." Which of the following would be a compliant question to query? - ANSWER-Do you know the cause of the fever? 
 
Operation Restore Trust - ANSWER-3 offices were involved: OIG, Healthcare Financing Administration, AoA 
 
May 1995 Bill Clinton: 2 yr partnership of federal and state agencies, working together to protect the healthcare trust funds through shared intelligence coordinated enforce...
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CMS Fraud Definition - ANS Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - ANS An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - ANS Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to ...
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UHC: United Healthcare – Ethics and Compliance Exam V1| Real Questions and Verified Answers (NEW 2023-2024) |A+ GRADE
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UHC: United Healthcare – Ethics and 
Compliance Exam V1| Real Questions and 
Verified Answers (NEW ) |A+ 
GRADE 
 
QUESTION 
When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the 
following must an agent do? 
 
 
Answer: 
Provide current marketing materials that have been approved by CMS and UnitedHealthcare. 
 
 
 
QUESTION 
What is the definition of Waste? 
 
 
Answer: 
NOT***** Waste includes any practice that results in the provision of services tha...
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