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Exam (elaborations)

Waste, fraud, abuse questions with correct answers

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intentional deception or intentional misrepresentation that a person makes to gain a benefit for which the person it not entitled CORRECT ANSWER fraud knowingly billing for services that were not furnished CORRECT ANSWER fraud knowingly altering claim forms to receive a higher payment amount CORRECT ANSWER fraud using unlicensed individuals to provide services CORRECT ANSWER fraud payment for items or services when there is no legal entitlement to that payment and the health care provider has not knowingly or intentionally misrepresented facts to obtain payment CORRECT ANSWER abuse overutilization of services or other practices that result in unnecessary costs to the health care system CORRECT ANSWER waste T or F: waste is considered criminally negligent CORRECT ANSWER false ordering unnecessary tests to guard against liability CORRECT ANSWER waste name the law: liability for submitting a false claim such as billing for services not provided or falsifying records or documentation to get money from the federal gov't CORRECT ANSWER false claims act which law includes a whistle blowing provision?

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Waste, Fraud, Abuse
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Institution
Waste, fraud, abuse
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Waste, fraud, abuse

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Uploaded on
December 9, 2023
Number of pages
5
Written in
2023/2024
Type
Exam (elaborations)
Contains
Questions & answers

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