b) over 25 Cyberbullying is the use of the Internet and related technologies to harm other people, in a deliberate, repeated, and hostile manner. 2) Medicare administrative contractor All of the following are true of homelessness. Appropriately released the dates of service, but not the negative HIV status. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. National Health Care Anti-Fraud Association. 4) The provider was not informed by the office manager that a demand letter had been received by the office. Healthcare Reimbursement and Revenue Cycle Management. The insurance specialist. she is preparing new CPT codes for inclusion in the CDM. c) mucosal absorption 2) Authorization program. The Department of Health and Human Services and The Department of Justice: Health care fraud and abuse control program annual report for fiscal year 2019. Upcoding is: a. a) ingestion a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? b) brain damage c) hallucinations a) women absorb about 30% more alcohol into their bloodstream than men do All of the following are examples of abuse except: d) being impulsive, all of the following are characteristics of the alcoholic young adult subtype except d) all, lynn switched to light cigs. As part of the administrative simplification provision of HIPAA, which of the following unique identifiers is assigned to third-party payers? 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 b) they don't make a person sick if he drinks while taking them Edits that identify the maximum allowable number of units for a service are _ _ _ _ _ _ _ _ _ b) intellectual delays a) it is more potent Can diet help improve depression symptoms? What is the difference between Medicare Advantage and Medigap? All of the following are examples of discrimination, All of the following are signs of physical abuse, the child encourages interaction with adults. Approximately what percentage of high school seniors report consuming more than just a trial tase of alcohol? What percentage of K-12 students are children of immigrants. 2) HIPAA 1) Detect inappropriate coding. 4) Overcharging for services. Destruction or alteration of patient records, including fraudulent charting and/or signatures and/or replacement of records with intent to mislead or deceive. An insurance company calls the office to request information about a claim. The insurance specialist should. b) older smokers c) the body being primed for repeat stimulation Which coding position describes a coding professional who codes limited cases with 100% review? 3) National Standard Employer Identifier Number (EIN) 1) Security c) how much and how quickly a person drinks There is a bewildering number of breakfast cereals on the market. Overall, the statistics show that the level of substance abuse in children and teenagers is. 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. National Correct Coding Edits were developed to: All of the following are steps to confronting racism except, remaining silent in an effort not to offend students. 3) Voluntary compliance program. This includes: If a person is enrolled in a Medicare Advantage plan and suspects Medicare abuse or fraud, they can also call the Medicare Drug Integrity contractor at 1-877-772-3379. (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! 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. a) decreased urination c) respiratory infection Causes Effects Treatment Abuse is cruelty, violence, or demeaning or invasive behavior from one person to another person or animal, causing physical, sexual, and psychological or emotional harm. d) users can't develop a tolerance to the drug, PCP was originally developed as Which term describes guidelines written by administrative agencies (such as CMS) that are based on laws passed by legislative bodies? If a person believes they may have noticed Medicare abuse or fraud, they can report it in three ways: For the call, a person will need to gather information. 2003-2023 Chegg Inc. All rights reserved. a) athletes a) higher blood pressure The facility later determined that Medicare was not the payer because this was a workers' compensation case. A . 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. Instruct the attorney to obtain the patient's signed authorization. a) a condition fundamentally associated with drug abuse b) an exaggeration feeling of desire c) a chronic disease that originates in the brain d) a psychological variation c all of the following are characteristics of addiction. a) reduces appetite b) the intestines 60 seconds. 1) National Provider Identifier (NPI) c) MDMA It is usually treated by following the RICE method (Rest, Ice, Compression, Elevation). Question 3 1 out of 1 points Extrafamilial sexual abuse refers to exploitative sexual contact with perpetrators who may be known to the child . 1) The amount of reimbursement. Which of the following causes the symptoms: redness, swelling, and itching? which of the following is the best way for him to treat his hangover? 4) Authorization, Information that is identifiable to an individual is known as _ _ _ _ _ _ : 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 b) THC d) five, all of the following statements regarding bidis are true except You can learn more about how we ensure our content is accurate and current by reading our. Confrontation means facing an issue head on. a) it is fast acting In an attempt to distinguish between consumers, a survey of adults between the ages of 25 and 65 was undertaken. 2) Fraud d) antidepressants, all of the following statements about over the counter medicines are correct except psychological dependence. All of the following are considered behavioral signs of abuse, except what? b) having low self esteem b) they may not be safe for pregnant women a) withdrawal d) volatile, according to national surveys, slightly more than _________ of the adults in the US drink alcohol d) impaired cognitive ability, which of the following is not a central nervous system stimulant? c) drug tolerance 4) 5 years, The intentional deception or misrepresentation in order to collect unauthorized payments is known as colin started drinking and using marijuana at the age of 12. as an adult, colin has been diagnosed with bipolar disorder. a) males are more likely to use drugs than females b) rehabilitation 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 b. Appearing torn, stained, or bloody clothing If someone communicates with you about an incident of abuse and neglect, what is the best way to respond to the individual? Critical Audit Matters b. A alcohol. b) she will inhale fewer hazardous chemicals than she did w regular cigs The cereal choices are: Fiber One, a cereal that is designed and advertised as healthy, Cheerios, a combination of healthy and tasty. A. All of the following are examples of physical abuse except for: Calling someone a derogatory name Emotional abuse is saying or doing something to another person that causes the other person to experience which of the following? b) a person's gender answer choices. d) alzheimer's, how does methamphetamine differ from amphetamines? 3) The overpaid physician was found to be at fault, but the overpayment amount was nominal. c) cocaine Knowingly billing for a service that the provider did not furnish 2. a) african americans The spouse is the primary policyholder on a policy for which his wife is named as a dependent. a) solvents The difference between fraud and abuse is: Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. She separates the gallbladder cases by surgeon and then selects the cases to be audited based on the percent of total gallbladder cases during the study period for each surgeon. 1) Analysis of standard practices. 3) Coding guidelines by national specialty societies. d) using stimulant drugs to feel more self confident, all of the following statements about illicit drug use in the US are correct except b) physical dependence 3) Confidentiality d) sports fans, what effect does parental acceptance of alcohol use during high school have on college drinking patterns? 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 ? What percentage of K-12 students are children of immigrants? (select all that apply). According to the National Health Care Anti-Fraud Association, the U.S. spends more than $3.6 trillion on healthcare every year and estimates healthcare fraud costs billions of dollars annually. b) 60% Which term describes an individual's right to keep health care information from being disclosed to others? Remaining silent on the issue to avoid offending students. a) under 18 Symptoms of this type of emergency include: difficulty breathing, closing airways, wheezing, vomiting, and fast hearbeat. When an individual assumes another person's electronic identity, they are commiting which type of abuse? 3) Decrypted This can lead to a misunderstanding or saying something inappropriate. People can help look out for and avoid Medicare abuse by following some basic steps, including the following: Sometimes, a person may want to call their doctor or other health providers office to discuss the possible mistake and check facts, before they report it to Medicare. Pespiration is a symptom of a heart attack. a) they have never heard that smiling can kill you d) alcohol, psilocybin causes users to experience which of the following is true? All of the following are ways that students are different. What percentage of K-12 students are children of immigrants? As a result, it is important to determine the causes and possible cures. this is likely due to the release of large amounts of Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. a) a 12 step program This may occur when a person feels like they are losing control over something. Misunderstanding or saying something inappropriate, A powerful emotion resulting in negative and strong emotions, When a person feels like they are losing control over something, To correspond online with someone who doesn't value the same things as you do, Electronic devices used to for cyberbullying, Active-listening and effective communication. You and your partner have become intimate and your partner indicates that they want to use contraception but you do not allow them to. 2) Coding conventions in CPT. You're shocked and frightened by what you see or what you hear. Question: Drug abuse is a common problem for all of the following reasons EXCEPT a. a desire to belong to a group b. the immediate feelings of pleasure produced by the drug c. an escape from feelings of inadequacy d. the lack of negative Drug abuse is a common problem for all of the following reasons EXCEPT Each company produces several different products in the belief that there are distinct markets. b) withdrawal Therefore, the facility. c) rates of drug abuse are highest in rural areas After the physician orders medications, Olga administers them to the patient. To report Medicare abuse or fraud, a person can contact 1-800-MEDICARE, or 1-800-633-4227. People with lower incomes may benefit from this social security program. a) LSD This is an example of. 2) Component code edits. d) using in larger quantities or for longer than intended, the depressed or "flat" feeling that drug users may feel when they aren't taking a drug is related to Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. 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) brief intervention No other documents accompany the letter. d) all, robert has been a smoker for 2 yrs. b) liver c) HIV d) 25-30, which of the following ethnic groups has the highest percentage of current drinkers? d) rita may have drank her vodka slower than john did, short term effects of alcohol consumption include al of the following except You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Prejudging or forming an opinion about someone or something is called. c) enhanced immune system function Choose the correct choice. d) kidney damage, the main psychoactive chemical in marijuana is d) adrenaline, drug users develop ________ to a drug overtime which means they need more of the drug to produce the same effect his symptoms suggest he may have What is the difference between Medicare abuse and Medicare fraud? a) caucasian makes a) practice a) barbiturates 4) Risk management program. 1) The overpayment was discovered two years or more after the year of payment. Which type of audit report are you likely to issue? c) taking a depressant drug in order to fall asleep 1) Obtain a signed patient authorization from the wife before releasing patient information. Basis for Opinion, Come up with answers for these questions. Physical abuse in any intentional unwanted contact with another person's body. a) they're safer than regular cigs d) being alcoholic by age 21, when colin was 6, his father died from alcohol poisoning. the feeling of intense pleasure that dopamine delivers is called, substance dependence is characterized by all of the following except Examples of Abuse would be those where any act done wrongly or incorrectly, 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. b) restlessness b) a hallucinogen A . a) there is no evidence that "light" cigs provide any health benefits a) ANN.N b) NAA.A c) NNNNN d) AAN.N 2) which of the following codes sets, Olga is a nurse at Community Hospital. Which of the following is the most common form of violence in schools? d) young antisocial subtype, newer medications used to treat alcoholism have all of the following advantages except All of the following are examples of abuse, EXCEPT: Knowingly billing for a service that the provider did not furnish Which of the following is the correct order for the CERT process? Nonattendance of compulsory education is called. Prior to treatment Thirty days post treatment Sixty days post treatment, Which KPI measure assesses the ability of the coding unit to comply with billing edits? a) taking the incorrect dose c) barbiturates All of the following situations are examples of abuse or neglect EXCEPT: a) restraining a client according to a physician's order b) leaving a client alone in the bathtub c) threatening to withhold a client's meals d) leaving a client in a wet and soiled bed See answer Advertisement Course Hero is not sponsored or endorsed by any college or university. Which of the following is a sign of neglect? There are many ways to commit Medicare abuse or fraud. a) having family history of alcoholism 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. 4) Interrogatory, Which act of legislation requires Medicare administrative contractors to attempt the collection of overpayments made under the Medicare or Medicaid programs? b) depression Abuse does not include which of the following examples? There are several types of Medicare abuse. b) restlessness c) an anesthetic b) endorphin c) amphetamines 2) The intent of the individual. Emphasis on the past; Focus on expression of emotion; Emphasis, Question 50 A family has been court-ordered to family therapy. The fraudulent process of submitting codes for reimbursement that indicate more complex higher-paying services than the patient actually received a. 3) Reporting more than one code when one is appropriate. What is Medicare Extra Help, and how do I qualify? Many forms of verbal harassment can be considered sexual harassment. c) they include allergy pills and cold medicines That year, more than 500 defendants were convicted of fraud-related healthcare crimes. b) it has no effect on the student's drinking habits during college Remaining silent in an effort not to offend students. b) at 21 years of age Sexting is fun and flirty and there are no laws against it. claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate. Case law is based on court decisions that establish precedent, and is also called __________ law. 1) Security management c) dopamine c) a pack of b) expansion of the blood vessels in the eye Data shows that substance abuse has increased for all of the following except. d) they aren't addictive, all of the following are important components of effective alcohol counseling programs except We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. About what percentage of the homeless population is comprised of families? claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate Which of the following is an example of fraud? 3) Subpoena duces tecum b) lightheadedness c) opioids a) social drinking 2) Secured health information 1) Federal Claims Collection Act 3) Stark II laws All of the following examples show potential negative consequences of disregarding laws and regulations against drugs that could affect the community except Alex gets into several fights in his neighborhood Ashley drops out of high school and cannot get a job Edward experiences memory loss and impaired judgment a) a 12 step program b) bronchitis and other respiratory problems a) headaches Assume during the audit of inventory a material uncorrected the misstatement was regarded as both material and pervasive. b) tar Approximately what percentage of high school seniors report consuming more than just a trial tase of alcohol? 2) Deposition Browse over 1 million classes created by top students, professors, publishers, and experts. Which type of abuse does the following scenario describe? b) asthma The insurance specialist should. a) offering empathy c) LSD b) alcoholism a. a) cocaine d) pancreas, symptoms of alcohol poisoning include all of the following except Should have billed the employer's workers' compensation payer for the ED visit. b) an increase in dehydration and worsening of a hangover False. Which of the following is consistent regarding termination in brief psychodynamic therapy? c) their friends smoke Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Tension is released in a burst of physical abuse, Blood flow is cut off to the heart muscles, This occurs when muscles or ligaments overstretch. Electronic agression is also known as physical abuse. 1 Anyone, of any age, gender, race, or background can be a victim of abuse. c) tolerance The child encourages interactions with adults. She scans the patient's wristband and then scans the medication to record the, 2) Roni is a CDM charge analyst at community hospital. c) mucosal absorption d) none, beth's physician warned her to quit smoking, when she learned she was pregnant because of which of the following risks? a) a drug to achieve peak level in the bloodstream 2) Payer a) a person's body weight In some cases this cause wheezing, faintness of breath, and a rapid heat beat especially in people with allergic reactions. a) partial amnesia c) strengthening motivation Using the legal system to settle a dispute means ligitation. d) lower blood pressure, symptoms of caffeine withdrawal may include all of the following except There are many ways to commit Medical fraud. 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. c) smokeless tobacco users The patient said, "I was moving a file cabinet for my boss when it tipped over and fell on my arm." https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-report-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-spot-medicare-fraud, https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf, https://www.nhcaa.org/resources/health-care-anti-fraud-resources/the-challenge-of-health-care-fraud/, https://oig.hhs.gov/publications/docs/hcfac/FY2019-hcfac.pdf, A safer blood thinner? a) tobacco Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? True. a) caffeine Stop acting like such a whore. 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. Which of the following can be helpful to providers to avoid generating erroneous and fraudulent claims? C) a database to share information across states and federal programs is being developed. c) it is highly addictive d) one or both of their parents smoke, which of the following ethnic groups has the highest rate of smoking? If a person believes they may have noticed Medicare abuse or fraud, they can report it in three ways: calling Medicare at 1-800-633-4227, or 1-877-486-2048 for TTY users. How much is the original Medicare premium? People who suffer from emotional abuse tend to have very low self-esteem, show personality changes (such as becoming withdrawn) and may even become depressed, anxious or suicidal. All of the following are examples of physical abuse except for: Emotional abuse is saying or doing something to another person that causes the other person to experience which of the following? d) all, when a person quits drinking alcohol and experiences physical symptoms such as nausea, sweating, shakiness, and anxiety, this is called MNT is the registered trade mark of Healthline Media. In planning care for a woman who presents as a survivor of domestic abuse, a nurse should be, aware of which of the following data? The child shrinks at the approach of adults. 1.Identify common inherent risk factors that companies involved in the entertainment industry pose for their independent aud. The proper way to determine unresponsiveness is to: Select the injury for the following situation: a person who cannot make sounds or is turning blue; the Heimlich maneuver is then performed to remove an object. Stress theory b. . Which organization grants the CCS-P credential? a) nicotine The termination date. a) acetylcholine All of the following are signs of physical abuse except. the non medical use of _______ is the second largest category of illicit drug use in the US. 2) National Health Plan Identifier (HPID) c) chronic bronchitis All of the following are examples of abuse, EXCEPT: Knowingly billing for a service that the provider did not furnish. Feedback The nurse should determine that a child who shrinks at the approach of adults in addition tohaving bruises and burns may be a victim of abuse. a) 1 c) emphysema 3) Column 1/column 2 edits. b) drug testing at the workplace Billing for services that were not furnished and misrepresenting diagnoses to justify payment, Improper billing practices that result in Medicare payment when the claim is the legal responsibility of another third-party payer, The 66-year-old patient was treated in the emergency department for a fractured arm. A CPA is auditing financial statements of an issuer. In a survey, American and Canadian adults were asked to report their primary source of stress in their lives. a) they have no effects on the brain a) ear infections d) lifestyle changes, well or i he following are reasons for young adults to start smoking except that d) group therapy, "falling off the wagon" is a term to describe c) heart attack This article describes Medicare abuse, the difference between abuse and fraud, and the cost to the United States. What type of coding error did Auditors, Which of the following compliance documents serves as day-to-day operating. c) lethargy All of the following are examples of bullying except, Overall, since 1960, the teen birth rate has, 14 times more likely to make a suicide attemot, If a teachers suspects a student is suicidal, she should, Data shows that substance abuse has increased for all of the following except, Nonattendance of compulsory education is called. a) euphoria a) an immoral desire to experience intoxication a) tolerance c) they reduce the cravings for alcohol d) 80%, the 1984 federal uniform drinking age act d) all, second hand smoke can cause or exacerbate which of the following health conditions? b) around 10% of americans currently use illicit drugs Medicare abuse is an act that results in unnecessary costs, indirectly or directly, to the Medicare program. d) misuse, symptoms of drug withdrawal may include all of the following except Which CDI metric measures the percent of time a physician responds to a CDI query?

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