Ati health care fraud Study guides, Class notes & Summaries

ATI Health Care Fraud, Waste and Abuse Prevention 1. When an employee in a provider’s office suspects fraudulent activity and uses the Office of Inspector General (OIG) Hotline to report it, the employee should do which of the following? -Stop filing suspicious bills and claims. (The employee should stop filing the problematic bills immediately to avoid additional fraud.) -Pursue knowledgeable legal counsel. (While the Qui Tam statute forbids employers from harassing or retaliating agains...

ATI Healthcare fraud, waste, and Abuse Prevention post test Q&A Latest Updates Which of the following is an example of a best practice strategies to prevent fraud waste and abuse - Establish procedures for maintaining and distributing medication samples Health insurance portability and accountability Act mandated that Healthcare entities Implement which strategy to help reduce the Medicare fee-for-service error rate and prevent payment for potential fraudulent activity - Electronic health ...

Which of the following is an example of a best practice strategy to prevent fraud, waste, and abuse? - Establish procedures for maintaining and distributing medication samples. Which of the following pieces of legislation mandated the establishment of a Join Health Care Fraud and Abuse Control (HCFAC) program? - Health Insurance Portability and Accountability Act (HIPAA) A nurse overhears a provider refer a client who has Medicare to a durable medical equipment company owned by the provider...

NGN ATI Florida Claims Adjuster Exam | 206 Questions with 100% Correct Answers A+ | 2023 Frank owned a home that was destroyed by a hurricane. Both ABC and XYZ Banks were listed as additional interests on his homeowner policy. The insurance company will make a payment to: A. The first mortgagee, ABC B. The Insured C. Jointly to ABC and XYZ D. All listed interests Correct Answer: D. All listed interests Remember that the insurer is not responsible to know the degrees of interest. In ...

Health Insurance Portability and Accountability Act (HIPPA) mandated that health care entities implement which of the following strategies to help reduce the Medicare fee-for-service error rate and prevent payment for potential fraudulent activity? - Answer: electronic health records Rationale: Electronic health records reduce the error of false claims. They are also more likely to be more thorough. Which of the following health care resources or services is most vulnerable to fraud, waste,...

NGN ATI Florida Claims Adjuster Exam | 206 Questions with 100% Correct Answers A+ | 2023/2024 Frank owned a home that was destroyed by a hurricane. Both ABC and XYZ Banks were listed as additional interests on his homeowner policy. The insurance company will make a payment to: A. The first mortgagee, ABC B. The Insured C. Jointly to ABC and XYZ D. All listed interests Correct Answer: D. All listed interests Remember that the insurer is not responsible to know the degrees of interest...

RNSG 2360 - ATI Health Care Fraud, Waste and Abuse Prevention. Questions and Answers.

ATI Health Care Fraud, Waste and Abuse Prevention 1. When an employee in a provider’s office suspects fraudulent activity and uses the Office of Inspector General (OIG) Hotline to report it, the employee should do which of the following? - - - - - -the recommendation after reporting suspected fraud is to disengage professionally from the person the employee reported to whatever extent is possible in the situation.) 2. Which piece of legislation mandated the establishment of a joint...