Assume during the audit of inventory a material uncorrected the misstatement was regarded as both material and pervasive. 4) U.S. Attorney General. c) tolerance a) 50% Multiple Choice Quiz - Oxford University Press 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. a) nicotine Question 3 1 out of 1 points Extrafamilial sexual abuse refers to exploitative sexual contact with perpetrators who may be known to the child . b) .05% d) drug education programs, the "feel good" neurotransmitter in the brain that produces the euphoria associated with drug use is called a) acetylcholine Fraud, Waste, and Abuse | Corporate Quiz - Quizizz b) lightheadedness c)antagonistic 1) Centers for Medicare and Medicaid Services People with lower incomes may benefit from this social security program. d) rita may have drank her vodka slower than john did, short term effects of alcohol consumption include al of the following except Giving children opportunities to explore their own identities. c) paranoia b) ritalin Treating this type of injury includes removing the clothing, applying ice, splinting the injured body part, and seeking medical care. answer choices. c) miscarriage You and your partner have become intimate and your partner indicates that they want to use contraception but you do not allow them to. Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? Medicare Extra Help can help people access prescription drug coverage. b) the intestines d) being impulsive, all of the following are characteristics of the alcoholic young adult subtype except In which type of review does the RAC require the review of clinical medical record documents to confirm the improper payment? b) bronchitis and other respiratory problems 3) 10 years d) convolutions, all of the following are true about LSD except 4) Overcharging for services. Many forms of verbal harassment can be considered sexual harassment. 1) Detect inappropriate coding. Which type of abuse does the following scenario describe? d) at middle age, where does the most alcohol absorption occur? She scans the patient's wristband and then scans the medication to record the, 2) Roni is a CDM charge analyst at community hospital. (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! No other documents accompany the letter. b) she will inhale fewer hazardous chemicals than she did w regular cigs 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. d) all, the tobacco in one cigar can contain as much tobacco in ______ cig (s) 1) Security management d) they don't present any of the challenges associated with prescription drugs, combining acetaminophen and alcohol can lead to a) low birthweight a) injection Physical abuse in any intentional unwanted contact with another person's body. a) coronary heart disease 2) Coding conventions in CPT. Costs vary, including premiums, copays, and, Medigap supplement insurance plans are designed to supplement a person's original Medicare benefits, while Medicare Advantage plans offer all-in-one. All of the following are examples of abuse, EXCEPT: Knowingly billing for a service that the provider did not furnish. Symptoms of this type of emergency include: difficulty breathing, closing airways, wheezing, vomiting, and fast hearbeat. All of the following are examples of elder abuse except: lack of eyeglasses, hearing aides, false teeth. Which of the following is the most common form of violence in schools? A. b) alcoholism 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. a) a diet drug 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. The immediate, initial response by any bystander during EMS involves his/her care for the victim of an injury or illness until professional medical care arrives at the scene of the accident. c) intercollegiate athletes 1) 6 years b) taking the medicine at the wrong time d) all, a person w COPD can have B. c) opioids Which of the following needs to happen first in a dating relationship? a) offering empathy d) antidepressants, all of the following statements about over the counter medicines are correct except c) chronic bronchitis c) mucosal absorption d) using stimulant drugs to feel more self confident, all of the following statements about illicit drug use in the US are correct except According to Clevette and colleagues, examples of unsafe, common disciplinary actions reviewed by boards of nursing include all of the following EXCEPT- a). c) 18-24 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. Which of the following is a sign of neglect? All of the following are examples of abuse, except: a. lacking sufficient clothing for the weather, According to the Urban Institute, the high school completion rate in the United States is approximately, All of the following are examples of discrimination except, giving children opportunities to explore their own identities, The Child Nutrition Reauthorization Act of 2004 mandated that schools participating in the federal school meal program should develop wellness policies focusing on all of the following except, what children and adolescents eat at home, All of the following are signs of physical abuse except, the child encourages interaction with adults. c) a pack of Which term describes guidelines written by administrative agencies (such as CMS) that are based on laws passed by legislative bodies? Critical Audit Matters b. The child encourages interactions with adults. Should have billed the employer's workers' compensation payer for the ED visit. Which organization grants the CCS-P credential? Medicare abuse is generally when illegal practices cause unnecessary billing costs for the insurance program. _ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. The termination date is set within 10 weeks of anticipated termination. a) headaches c) cocaine claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate. All of the following are ways that students are different except, Correct all of the above are ways that students are different. d) all, free basing cocaine means the user is a) high levels of dopamine being released in the brain A provider or beneficiary can receive a waiver of recovery of overpayment in which situation? c) abstinence 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. The beneficiary was without fault with respect to the overpayment and recovery would cause financial hardship. 3) Incentives This may occur when a person feels like they are losing control over something. 1.split in terms of explanation the Interim and Final Audits basing strictly on the timing criteria 2.where does the v in business law arise when dealing with, An emphasis-of-matter paragraph is used in the auditor's report to draw users' attention to a. b) obesity 3) Whether improper payments are made or not. If your friend is in danger or going to harm themselves or others, what must you do immediately? b) liver (check all that apply) (mark all correct answers), Allow each person to share his or her opinion. When an individual assumes another person's electronic identity, they are commiting which type of abuse? which of the following age groups had the highest reported last month reported reported illicit drug use? b) it usually takes 30-90 min to take effect a) experiencing withdrawal when the drug is inaccessible Somatosensory information travels from the thalamus to which area of the cortex? Require a signed patient authorization from the insurance company. Course Hero is not sponsored or endorsed by any college or university. Course Hero is not sponsored or endorsed by any college or university. 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. which data elements does she need tp prepare hospital-specific codes for the new line. c) emphysema c) smokeless tobacco users In a survey, American and Canadian adults were asked to report their primary source of stress in their lives. 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. c) ya 19 years of age or younger Do these data provide sufficient evidence to conclude that Americans and Canadians differ in their sources of stress? Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? b) caffeine d) alcohol, psilocybin causes users to experience What percentage of K-12 students are children of immigrants. c) abstinence What type of coding error did Auditors, Which of the following compliance documents serves as day-to-day operating. 3) Column 1/column 2 edits. d) none, beth's physician warned her to quit smoking, when she learned she was pregnant because of which of the following risks? b) THC d) 80%, the 1984 federal uniform drinking age act b) stroke The responses are: The data were recorded using these codes plus 1 = American and 2 = Canadian. a) decreased urination a) euphoria 2) Payer 2) Release a copy of the information to the patient's spouse because he is the primary policyholder. b) over 25 1) Privacy Lacking sufficient clothing for the weather. a) psychological dependence c) hispanics Medicare abuse and fraud are unlawful practices that may result in unnecessary costs billed to the insurance program. c) hyperglycemia The challenge of health care fraud. 2) Subpoena c) how much and how quickly a person drinks experience of a blackout episode or memory loss. Prejudging or forming an opinion about someone or something is called. d) it is more commonly prescribed by doctors, methamphetamine use may cause all of the following except NCCI edits are based on all of the following except: The CPA will state in which section of the audit report that the firm is registered with the PCAOB? The child encourages interactions with adults. b) 60% You doubt yourself and think you are the one who is overreacting.. except a) increased pleasure from engaging in the behavior b) denial c) continued to use despite negative consequences (select all that apply). a) cigar smokers c) it is highly addictive Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. All of the following are examples of abuse except: The results of the survey were recorded using the following format: Determine whether there are differences between the incomes of the consumers of the four cereals. 1) National Provider Identifier (NPI) Verbal Sexual Harassment Examples: How To Recognize And - Impactly Case law is based on court decisions that establish precedent, and is also called __________ law. 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 c) the skin a) higher blood pressure In 2019, the Department of Justice reported that it began 1,060 new criminal healthcare fraud investigations and filed criminal charges in 485 cases involving 814 defendants. Question 8 025 025 points all of the following are - Course Hero d) the psychoactive effects of a drug to subside, when a person takes two or more drugs at once, the physiological effects are likely to be greater if the drugs exhibit b) depression 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 ? d) impaired cognitive ability, which of the following is not a central nervous system stimulant? Teen Marriage All of the following are ways that students are different except. a) mouth All of the following are ways that students are different. c) half of a drug dose to be excreted through the kidneys If you are receiving multiple, unwanted text messages from an individual you are a victim of which type of abuse? The symptoms for the deepest burns are classified as first-degree burns. For example, there is a market composed primarily of children, another for diet-conscious adults, and another for health-conscious adults. a) LSD 4) Utilization Review Act, The recognized difference between fraud and abuse is the __________. Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? b) motivational enhancement b) it has no effect on the student's drinking habits during college b) physical dependence Remaining silent in an effort not to offend students. c) barbiturates All of the following situations are examples of abuse - Course Hero 3) Cost 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? All of the following are steps that teachers and schools can take to combat sexually-related concerns except.. What is the difference between Medicare Advantage and Medigap? Nonattendance of compulsory education is called. d) it encourages the student to drink responsibly during college, blood alcohol content (BAC) is affected by which of the following Sexting is fun and flirty and there are no laws against it. c) MDMA b) tolerance Question 12 1 out of 1 points Examples of post-sentencing services available to victims of crime include all of the following EXCEPT: . a) asthma Q. 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. a) additive interactions c) they include allergy pills and cold medicines suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. a) tolerance a) caucasians d) increased respiration, adderall and ritalin are typically misused by college students who are 2) Increase provider payments. b) substituting alcohol w another drug However, more often the situation will require that you pull together several indicators or clusters of indicators. 16 Q Nonattendance of compulsory education is called. All of the following examples show potential negative - Brainly 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. 4) The provider was not informed by the office manager that a demand letter had been received by the office. Reimbursement Chpt 12,13 Flashcards | Quizlet Some examples are offensive jokes of a sexual nature, unwanted sexual advances, excessive and unwelcome flirting, requests for sexual favors, suggestive or obscene emails, and derogatory comments in a sexual context. 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. 1.Identify common inherent risk factors that companies involved in the entertainment industry pose for their independent aud. 1) Obtain a signed patient authorization from the wife before releasing patient information. b) narcotics psychological dependence. a) caucasian makes d) all, lynn switched to light cigs. a) having family history of alcoholism A alcohol. d) group therapy, "falling off the wagon" is a term to describe You're shocked and frightened by what you see or what you hear. Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. 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. Tips for negotiating a conflict include which of the following? b) nicotine a) they're safer than regular cigs a. d) completing the required course of medication, the prescription drugs most common misuses are You can learn more about how we ensure our content is accurate and current by reading our. a) an immoral desire to experience intoxication a) a reversal of symptoms associated with a hangover All of the following are considered behavioral signs of abuse, except what? To report Medicare abuse or fraud, a person can contact 1-800-MEDICARE, or 1-800-633-4227. c) mucosal absorption a) they may interact with herbal supplements b) minorities c) mixing it w other drugs 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 c) stimulants 3) Electronic data interchange Basis for Opinion, Come up with answers for these questions. The insurance specialist should. National Correct Coding Edits were developed to: 2023 Healthline Media UK Ltd, Brighton, UK. Emotional Abuse: Definitions, Signs, Symptoms, Examples 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. b) developing tolerance to a drug giving children opportunities to explore their own identities, According to the Urban Institute, the high school completion rate in the United States is approximately, If a teachers suspects a student is suicidal, she should, lacking sufficient clothing for the weather, The Child Nutrition Reauthorization Act of 2004 mandated that schools participating in the federal school meal program should develop wellness policies focusing on all of the following except, what children and adolescents eat at home. b) native americans Knowingly billing for a service that the provider did not furnish 2. d) users can't develop a tolerance to the drug, PCP was originally developed as b) chronic bronchitis d) misuse, symptoms of drug withdrawal may include 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. 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 a) males are more likely to use drugs than females An insurance company calls the office to request information about a claim. 3) Decrypted Which of the following causes the symptoms: redness, swelling, and itching? Upcoding is: a. The difference between fraud and abuse is: d) tropical administration, heroine commonly enters the body through which method of drug administration? 5. Indicators of Child Abuse or Maltreatment/Neglect a) seizures 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. b) asthma The people involved, either indirectly or directly, can include doctors, other health providers, suppliers, and Medicare beneficiaries. The child shrinks at the approach of adults. 1) Security program. c) fraternity and sorority members a) african americans True. d) all, when a person quits drinking alcohol and experiences physical symptoms such as nausea, sweating, shakiness, and anxiety, this is called Ms. Vicki: 5 Reasons People Don't Report Child Abuse 1) Deposition 1) The amount of reimbursement. * 2. c) sleep disturbances Medicare abuse is an act that results in unnecessary costs, indirectly or directly, to the Medicare program. 2) Deposition All of the following are such events EXCEPT: a. tornado or flood b. violent events such as child abuse, domestic abuse, crime c. psychopathology that triggers a crisis i.e. a) social drinking c) she will have a greater chance of quitting Which coding position describes a coding professional who codes limited cases with 100% review? The patient said, "I was moving a file cabinet for my boss when it tipped over and fell on my arm." a) asthma c) brief intervention There are several types of Medicare abuse. 1) Intent 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. Overall, since 1960, the teen birth rate has, Overall, the statistics show that the level of substance abuse in children and teenagers is, those who live within a specific geographic location, those with whom students may come in contact through everyday activities, the neighborhood, town, city, or county in which a student lives, homeless students are more likely to be held back a grade, over 2/3 of homeless parents are unemployed, 62% of children placed in foster care come from formerly homeless families. 4) How often the violations occur. Which of the following is the correct order for the CERT process? What percentage of K-12 students are children of immigrants? the non medical use of _______ is the second largest category of illicit drug use in the US. c) campaigns to discourage drug use It would be helpful to know whether the causes are universal or do they vary from country to country. (2020). which of the following is the best way for him to treat his hangover? d) all, robert has been a smoker for 2 yrs. What is the difference between Medicare abuse and Medicare fraud? Research reflects, Question 31 Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors. d) slow breathing, second hand smoke can cause Emotional Abuse Signs and Symptoms a) tobacco b) brain damage 1) Private health information Withdrawing from virtual technology abuse and not attempting to tell anyone or resolve the issue is called Mediation. c) blurred vision a) drinking additional alcohol the next morning a) alcohol b) withdrawal instructions for administering CMS programs. A truancy. a) the stomach a) after graduating college 4) Mutually exclusive edits. c) resulted in decreasing alcohol related traffic fatalities a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? 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. Which CDI metric measures the percent of time a physician responds to a CDI query? 4) Interrogatory, Which act of legislation requires Medicare administrative contractors to attempt the collection of overpayments made under the Medicare or Medicaid programs? a) cancer 3) False Claims Act Heat exhaustion and heat strkoe are both life-threatening emergencies. 1. All of the following situations are examples of abuse or neglect EXCEPT b) rehabilitation d) large intestine, smoking is a key risk factor for a) it's effects are unpredictable a) withdrawal 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. All of the following are signs of physical abuse except.

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