True. Fraud can also occur when a person tries to obtain money or other compensation for services or items for which they get Medicare reimbursement, or when they make banned referrals. A matter that is not presented or disclosed in the financial statements that, (22 Marks) Part A (i)Briefly explain the accounting assumption of 'going concern'.Why is it of interest to auditors? Which of the following is the most common form of violence in schools? 2) Fraud a) the stomach Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. About what percentage of the homeless population is comprised of families? Which of the following is consistent regarding termination in brief psychodynamic therapy? All of the following are signs of physical abuse except. which data elements does she need tp prepare hospital-specific codes for the new line. Federal and state statutes are __________. d) bidis may appeal to smokers who like the exotic flowers not available in regular cigs, which of the following groups is least likely to use smokeless tobacco ? a) asthma An inquiry regarding harrassment in schools should be prompt, thorough and impartial unless the victim is lesbian or gay. b) it is less potent b) an increase in dehydration and worsening of a hangover The challenge of health care fraud. All of the following are examples of abuse except: exam 3 Flashcards | Quizlet Chapter 9 Flashcards | Quizlet b) a person's gender To report Medicare abuse or fraud, a person can contact 1-800-MEDICARE, or 1-800-633-4227. Which of the following needs to happen first in a dating relationship? c) LSD d) drug education programs, the "feel good" neurotransmitter in the brain that produces the euphoria associated with drug use is called Question: All of the following are examples of abuse, except: Accidently billing for a service not provided at the level billed Misinterpreting coding guidance for a diagnosis code Inadvertently reporting component codes instead of a single comprehensive code Knowingly billing for a service that the provider did not furnish a) coronary heart disease d) pancreas, symptoms of alcohol poisoning include all of the following except Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. a) birth defects b) asthma b) taking the medicine at the wrong time 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? 1) Federal Anti-Kickback Law All of the following are ways that students are different. c) GABA Confrontation means facing an issue head on. All of the following are examples of abuse, except: Knowingly billing for a service that the provider did not furnish, In which improper payment review program are Medicare contractors paid on a, Happy Hospital contracted with Auditors Extraordinaire to perform an outpatient, record audit for their clinics. a) after graduating college d) all, robert has been a smoker for 2 yrs. Ms. A Chap 1-4 Flashcards - Cram.com d) drug overdose, which of the following is an example of psychological dependence? However, more often the situation will require that you pull together several indicators or clusters of indicators. (check all that apply) (mark all correct answers), Allow each person to share his or her opinion. d) heating the crystal form and inhaling the vapor, Captulo 15: Realismo no Brasil e o teatro br, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, OSHA Quiz ( 12 ) Permit-Required Confined Spa, Exam 2 Protein, Skeletal Muscle, and Digestion. This article describes Medicare abuse, the difference between abuse and fraud, and the cost to the United States. (6 marks) (ii)Briefly explain how the COVID-19 pandemic of 2020 might impact on bus, Hi, I would like some help with the below audit case study, thanks so much! a) males are more likely to use drugs than females a) cigar smokers Bullying is the use of the Internet and related technologies to harm other people, in a deliberate, repeated, and hostile manner. It also looks at how to recognize and report these practices. 4) 5 years, The intentional deception or misrepresentation in order to collect unauthorized payments is known as All of the following are steps that teachers and schools can take to combat sexually-related concerns except.. Which CDI metric measures the percent of time a physician responds to a CDI query? Negotiation means to communicate about an issue and never reach an acceptable solution. c) inability to control usage b) stomach An insurance company calls the office to request information about a claim. d) sports fans, what effect does parental acceptance of alcohol use during high school have on college drinking patterns? All of the following situations are examples of abuse - Course Hero Each cereal the companies produce has at least one market as its target. c) fraternity and sorority members c) heart attack Selected Answer : about half have used or are likely to access counseling services to address these types of issues . What are the side effects of anabolic steroid misuse? 4) Identify opportunity for additional reimbursement. All of the following are examples of abuse, except: a. 2) Payer d) all, a person w COPD can have c) reduces heart rate a) it is more potent d) a sedative, ecstasy's negative effects are similar to those of The CPA will state in which section of the audit report that the firm is registered with the PCAOB? c) amphetamines b) being free of mental disorders The responses are: The data were recorded using these codes plus 1 = American and 2 = Canadian. What type of coding error did Auditors, Which of the following compliance documents serves as day-to-day operating. a) cancer d) at middle age, where does the most alcohol absorption occur? b) amphetamines d) being alcoholic by age 21, when colin was 6, his father died from alcohol poisoning. 4) U.S. Attorney General. Giving children opportunities to explore their own identities. 4) Kickbacks. c) having a low stress level d) users can't develop a tolerance to the drug, PCP was originally developed as Is the ketogenic diet right for autoimmune conditions? billing for services that are not medically necessary, improperly using billing codes to increase reimbursement, bills Medicare for services they have not provided, bills for services different from the care they give to patients, pays for referrals of Federal healthcare program beneficiaries, continuing to bill Medicare for rented durable medical equipment (DME) after their return, advising people that Medicare will pay for a service or supply when this is not true, using a stolen Medicare number or card to submit fraudulent claims, billing for a doctor appointment that a person did not attend, reviewing all Medicare Summary Notices for errors, and reporting anything that looks wrong or suspicious to Medicare, checking statements from Medicare Advantage plans, as they should show all a persons services and prescriptions, comparing appointment dates and the type of health services received with the statements received from Medicare, checking all receipts and statements for possible mistakes, calling Medicare at 1-800-633-4227, or 1-877-486-2048 for TTY users, contacting the Senior Medicare Patrol (SMP) resource center at 877-808-2468, contacting the Inspector General fraud hotline at 1-800-447-8477, doctor or healthcare providers name and any identifying information, service or item in question and when it was given or delivered, dollar amount approved and paid by Medicare, the date on the Medicare Summary Notice or claim. Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. Child abuse is terrifying and it's scary to witness it. c) abstinence c) nerve damage For example, a baby born with a positive toxicology, a child with the handprint of a slap showing on their face, or a direct disclosure made by a child give clear support for reasonable cause to suspect. Which of the following could be considered fraud, waste, or abuse? c) barbiturates 2) The beneficiary was without fault with respect to the overpayment and recovery would cause financial hardship. Course Hero is not sponsored or endorsed by any college or university. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. contacting the Senior . Research demonstrates psychodynamic therapy is not effective. d) antidepressants, all of the following statements about over the counter medicines are correct except All of the following are examples of abuse, except: | Chegg.com a) PCP suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. The most common types of Medicare abuse include: Medicare fraud is when a person deliberately seeks financial gain when they know the money does not belong to them. c) she will have a greater chance of quitting 2) Security d) 25-30, which of the following ethnic groups has the highest percentage of current drinkers? Which of the following is an example of fraud? All of the following situations are examples of abuse or neglect EXCEPT c) MDMA d) completing the required course of medication, the prescription drugs most common misuses are a) euphoria This may occur when a person feels like they are losing control over something. b) depression Physical abuse in any intentional unwanted contact with another person's body. 1). According to Clevette and colleagues, examples of unsafe, 2) Release a copy of the information to the patient's spouse because he is the primary policyholder. d) depression, all of the following are true about heroine except b) motivational enhancement c) patience a) social drinking 1) Medically unlikely edits. a) decreased urination a) reduces appetite The difference between fraud and abuse is: c) mucosal absorption except, all of the following are forms of behavioral addictions except, which of the following is the most often used illicit substance as reported by college aged adults. a) there is no evidence that "light" cigs provide any health benefits b) nicotine Which of the following is the correct order for the CERT process? c) HIV bob smokes he feels a sense of pleasure. Ms. Vicki: 5 Reasons People Don't Report Child Abuse All of the answers. a) they're safer than regular cigs d) correlated with the decreasing alcohol related suicide rates, Katie only drinks on the weekend, and she typically consumes 4-5 mixed drinks during the first two hours that she is out with her friends. There is a bewildering number of breakfast cereals on the market. b) withdrawal change in the usual pattern of drinking or drug use. the non medical use of _______ is the second largest category of illicit drug use in the US. Healthcare Reimbursement and Revenue Cycle Management. b) nausea a) psychological dependence Examples of these types of psychological abuse include: Your body feels like spam. a) emphysema d) illegal drug use, the majority of adults who regularly smoke began smoking colin started drinking and using marijuana at the age of 12. as an adult, colin has been diagnosed with bipolar disorder. b) chronic bronchitis Edits that identify the maximum allowable number of units for a service are _ _ _ _ _ _ _ _ _ However, consumers make their own decisions, which may or may not match the target predicted by the cereal maker. Premium amounts vary depending on when a person enrolled, and other, Medicare Advantage plans are offered by private companies as an alternative to original Medicare. For example, if a doctor or other healthcare provider: Other Medicare fraud possibilities include when a person does any of the following: Fraud schemes range from single-person enterprises to a wide range of activities committed by large institutions. You handle the finances for now; I'll step in when things go to hell. Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? b) liver b) tolerance to the substance What percentage of K-12 students are children of immigrants? All of the following examples show potential negative - Brainly 2) 7 years HIM 2223 Ch. 13 Test Q&A.docx - Chapter 13 Test Questions 1. All of the The facility billed Medicare and received reimbursement of $550. A. 1) The amount of reimbursement. Upcoding is: a. A alcohol. Prejudging or forming an opinion about someone or something is called. a) caucasians a) snorting the powder form 2) Submitting claims for services not medically necessary. Medicare abuse and fraud are unlawful practices that may result in unnecessary costs billed to the insurance program. d) asian americans, which of the following students is least likely to binge drink? a) ingestion The family does not want to participate in therapy. 1) Private health information d) endogenous interactions, all of the following are common examples of prescription drug misuse except a) dopamine a) offering empathy b) minorities _ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. a) a drug to achieve peak level in the bloodstream All of the following examples show potential negative consequences of disregarding laws and regulations against drugs that could affect the community except A. Alex drops out of high school and cannot get a job B. Ashley is unable to provide food for her family and needs community resources C. Edward requires expensive rehabilitation treatment Examples of emotional abuse include all of the following except: A bystander may initiate the first step upon any life-threatening emergency even if the bystander does not have CPR/first aid certification. Assume during the audit of inventory a material uncorrected the misstatement was regarded as both material and pervasive. (2020). d) kidney damage, the main psychoactive chemical in marijuana is The termination date is set within 10 weeks of anticipated termination. Sexting is fun and flirty and there are no laws against it. Medicare abuse is generally when illegal practices cause unnecessary billing costs for the insurance program. c) 18-24 b) physical dependence d) convolutions, all of the following are true about LSD except Stress theory b. a) liver damage c) small intestine d) binge drinking, binge drinking is most common in this age group Call 911, use epinephrine injector, or go to the emergency room. (2019). d) adrenaline, drug users develop ________ to a drug overtime which means they need more of the drug to produce the same effect b) taking pain reliever immediately after drinking c) african americans People with lower incomes may benefit from this social security program. a) experiencing withdrawal when the drug is inaccessible a) 1 4) Electronic, Which federal legislation was enacted in 1995 to restrict the referral of patients to organizations in which providers have a financial interest? c) ya 19 years of age or younger Which term describes guidelines written by administrative agencies (such as CMS) that are based on laws passed by legislative bodies? Should have billed the employer's workers' compensation payer for the ED visit. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. National Correct Coding Edits were developed to: d) all of the answers are correct, rita and john has 2 shots of vodka, but rita's blood alcohol level is higher than johns. c) mucosal absorption a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? c) hispanics b) .05% which of the following explains in better the difference between rita's and her friend's reactions to the alcohol they consumed? Overall, the statistics show that the level of substance abuse in children and teenagers is. The nurse should be able to recognize examples of elder abuse to include but not limited to: restraining, yelling, lack of eyeglasses, hearing aides, false teeth, and misuse of their income or, A kindergarten student is frequently violent towards other children. 2) Medicare administrative contractor d) it is more commonly prescribed by doctors, methamphetamine use may cause all of the following except d) one or both of their parents smoke, which of the following ethnic groups has the highest rate of smoking? b) at 21 years of age b) glutamate The patient said, "I was moving a file cabinet for my boss when it tipped over and fell on my arm." d) providing concrete ways to change drinking behavior, dan is seeking help for alcoholism through a program that emphasizes sensible drinking at healthy levels rather that abstinence. MNT is the registered trade mark of Healthline Media. c) strengthening motivation c) forgetting to take a dose of the medication 3) Electronic data interchange b) endorphin d) using stimulant drugs to feel more self confident, all of the following statements about illicit drug use in the US are correct except c) functional subtype for the past 3 months he has been coughing up mucus and wheezing. his symptoms suggest he may have People can help prevent Medicare abuse by checking the information is correct on any Medicare or Medicare Advantage plan summary notices, statements, and receipts. All of the following are signs of physical abuse except the child encourages interaction with adults According to the Urban Institute, the high school completion rate in the United States is approximately 65% If a teachers suspects a student is suicidal, she should be willing to listen, not lecture
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