CDEO self study Questions With Complete Solutions
______is applied when a patient is HIV positive without
documented symptoms of an HIV-related illness. Correct
Answers Z21, Asymptomatic human immunodeficiency virus
[HIV] infection status
**DO NOT use this code if the term AIDS is used.
Billing for services or supplies not provided.
Altering claim forms and receipts to receive higher payment.
Billing for services at higher level than provided or necessary.
Misrepresenting the diagnosis to justify payment.
Making referrals for certain designated services that are
prohibited. Correct Answers CMS examples of fraud
CMS defines __________ as an action resulting in unnecessary
costs to a federal healthcare program, either directly or
indirectly. Correct Answers Abuse
CMS defines __________ as knowingly making false statements
or misrepresenting facts to obtain an undeserved benefit or
payment from a federal health plan. Correct Answers Fraud
Congress enacted HIPAA in _______. Correct Answers 1996
If a patient has Covid-19 related signs/symptoms and has had
actual or suspected contact with or exposure to Covid-19, add
_________. Correct Answers Z20.822, Contact with and
suspected exposure to Covid-19, as and additional code.
______is applied when a patient is HIV positive without
documented symptoms of an HIV-related illness. Correct
Answers Z21, Asymptomatic human immunodeficiency virus
[HIV] infection status
**DO NOT use this code if the term AIDS is used.
Billing for services or supplies not provided.
Altering claim forms and receipts to receive higher payment.
Billing for services at higher level than provided or necessary.
Misrepresenting the diagnosis to justify payment.
Making referrals for certain designated services that are
prohibited. Correct Answers CMS examples of fraud
CMS defines __________ as an action resulting in unnecessary
costs to a federal healthcare program, either directly or
indirectly. Correct Answers Abuse
CMS defines __________ as knowingly making false statements
or misrepresenting facts to obtain an undeserved benefit or
payment from a federal health plan. Correct Answers Fraud
Congress enacted HIPAA in _______. Correct Answers 1996
If a patient has Covid-19 related signs/symptoms and has had
actual or suspected contact with or exposure to Covid-19, add
_________. Correct Answers Z20.822, Contact with and
suspected exposure to Covid-19, as and additional code.