Third party fraud - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

PVL3701 - Law Of Property PVL3701 EXAM PACK 2024 MCQ 1. Indicate the correct option. Which one of the following things can be regarded as a res nullius? (1) a domesticated tiger living in his owner‟s house (2) an impala roaming in the bushes (3) a Persian cat lying on the neighbor‟s patio (4) a springbok kept on a private game farm for hunting purposes ANSWER: Option 2 is correct. A res nullius is a thing which does not belong to anyone. All creatures that are wild by natu...

Lender Interest Provisions - Answer Protects lender interest by allowing the lender certain rights in the policy. Coinsurance Penalty - Answer A property insurance provision that penalizes the insured's loss recovery if the limit of insurance purchased by the insured is not equal to or greater than a specified percentage (commonly 80 percent) of the value of the insured property. Underinsured - Answer A situation resulting from a failure to carry enough coverage on the value of a property...

APRP Vocab correctly answered 2023ACH Automated Clearing House ACH Network Backbone for the electronic movement of money and data, a processing and delivery system that provides for the distribution and settlement among financial institutions of electronic credits and debits, as well as, non-monetary entries with payment related information 01:10 01:18 ACH Operator Central clearing facility that receives entries from the ODFIs and distributes the entries to the appropr...

Law of Contracts - Champions Test | Questions & Answers (Graded A+) Law of Contracts - Champions Test | Questions & Answers (Graded A+) Wrongful or criminal deception intended to result in financial or personal gain is called: - ANSWER - fraud The Buyer and Seller Temporary Residential Lease forms may be used for a lease period not to exceed: - ANSWER - 90 days __________ extend above the surface without limitation. - ANSWER - air rights An example(s) of an appurtenance would be: - ...

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 patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the app...

condominium Severalty ownership of air rights combined with an undivided interest in the common areas of real estate would MOST LIKELY describe a on probation A licensee could be active in the real estate business if his/her license is Agent Kenzie has terminated her relationship with her broker. The broker has returned her license to the BREP. Agent Kenzie has thirty days to place her license in escrow or find another broker Disciplinary actions that can be taken by the ...

Test Bank for Business Law: Text and Cases, 15th Edition, Kenneth W. Clarkson, Roger LeRoy Miller, ISBN: 9630 Table of Contents UNIT ONE: THE LEGAL ENVIRONMENT OF BUSINESS. 1. Law and Leg al Reasoning. 2. Business and the Constitution. 3. Ethics in Business —Appendix to Chapter 3: Costco Code of Ethics. 4. Courts and Alternative Dispute Resolution. 5. Court Procedures. Unit One: Task-Based Simulation – Application and Ethics: Arbitration, No Class Actions. UNIT TWO: TORTS AND CRIMES. 6. Tort...

TEST FOR ADJUSTER PRO, FLORIDA STUDY(QUESTIONS AND ANSWERS)A+ GRADED EXAM 2023-2024 - CORRECT ANSWER-Subtract the deductible from covered damages to get indemnification - CORRECT ANSWER-6 unique characteristics of insurance policy 1 Contracts of adhesion (court ez win) 2 Utmost good faith 3 aleatory 4 personal 5 Unilateral (only insurer has obligation) 6 Conditional - CORRECT ANSWER-1945 regulate insurance Naic doesn't give benefits to comissioners 90 day to pay hijacking on...

Who founded Georgia and what was his position? James Edward Oglethorpe, leader of English Parliament When was Georgia founded and what was its purpose? -1732 -To serve as a buffer between colonies and Spanish controlled Florida Who was James Wright? -Georgia's third and final royal Governor who fled the colony when the American Revolution began -Battle of Rice Boats Yazoo Land Fraud: When did it happen, what happened, and how was it fixed? -1795 -Sale of land in Miss...