Fraud waste and abuse 20 - Study guides, Class notes & Summaries

Fraud, Waste and Abuse | 20 Questions and Answers 100% Correct

AHIP FWA 2024 REAL EXAM WITH 150 QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) 2024 AHIP FRAUD, WASTE AND ABUSE EXAM BRAND NEW!! Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell them about Original Medicare's coverage of care in a...

An Example of Health Plan Employee abuse - Maria Adams works for a Medicare plan. She uses the plan's email to send out information to enrollees of the plan promoting her husband's sports memorabilia business. (This activity would also be in violation of HIPPA privacy rules) AUDIT - **A methodical examination and review of data or processes with the purpose of verifying the data's accuracy or whether established processes are in place or are properly followed. Civil Monetary Penalties - ...

MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC 1. What is the role of the NMC? a) To represent or campaign on behalf of nurses and midwifes b) To regulate hospital or other healthcare settings in the UK c) To regulate health care assistance d) To regulate nurses and midwives in the UK to protect the public 2. What is the purpose of The NMC Code? a) It outlines specific tasks or clinical procedures b) It ascertains in detail a nurse's or mi...

Fraud Waste and Abuse 2018 AHIP LATEST UPDATED 2023/2024 100% CORRECT ANSWERS

2023 United HealthCare - Ethics and Compliance 1. In terms of events, which of the following is true? 2. When completing an enrollment application in LEAN, why is an agent prohibited from entering their own email address in a field available for the consumer's email address? 3. Annual Election Period (AEP) is a time when 4. You have scheduled an appointment and obtained a Scope of Appointment (SOA) form to discuss Medicare Advantage Plans with a consumer. When you arrive at the app...

HIPAA Practice Exam Questions and Answers Already Passed When did HIPAA Become law? August 21, 1996 What does the acronym HIPAA mean? Health Insurance Portability and Accountability Act of 1996. What are other names for HIPAA? 1) Public Law 104-194 (H.R. 3103) 2) The Kennedy Kassebaum Bill Why was HIPAA passed? a. Improve portability and continuity of health insurance coverage. b. Combat waste, fraud, and abuse in health insurance and health care delivery c. Promote the use of...

Medicare plan means - correct answer A MA plan, MA-PD plan or PDP Subcontractor means - correct answer **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance program...

Medicare plan means A MA plan, MA-PD plan or PDP Subcontractor means **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance program component **ALL Medica...