Jessypeace

Course Introduction - While speaking to his ALS class, SSgt Baldwin says, "This doesn't count toward course completion; however, you should prepare as if it did. It is a way for you to measure how well you understand the material prior to taking the final." SSgt Baldwin's comments BEST identify ________. a. progress check b. formative exercise c. summative evaluation b. formative exercise Course Introduction - TSgt Irwin is a member of Security Forces and is married with two children...

When someone feels they are valued, act as ambassadors and want to stay at their organization, which type of commitment is being demonstrated? (Want to Stay) Affective Which level of commitment describes some1 thats willing to become a specialist in their field through advanced study and application? There is evidence of the desire for remarkable performance. Immersed When you perform w/ passion prep & practice & are also able to identify potential pitfalls, you have advanced to what degre...

Six levels of commitment Interested, Informed, Involved, Immersed, Invested, Innovative Interested Casually looking into things that interest you. Rarely leads to remarkable or exceptional performance. Informed Consistently focus attention + ready to learn. Results in persistent, intentional study and is the foundation, but not the end, of remarkable performance. Equivalent of subscribing to magazines, buying books,taking classes or attending seminars. Involved Individuals use what they le...

Categorical Imperative Any proposition that declares a certain kind of action or inaction to be necessary. A hypothetical imperative would compel action under a particular circumstance: Ethics behavior based on adopted attitudes and beliefs of what is right and wrong or values and judgments about good and evil, and the study of how you judge those behaviors. Ethics are a set of standards of conduct that guide decisions and actions based on duties derived from core values. Ethical Dilemma A...

Before you begin to study, look at the topic that is covered and ask yourself what you know about it already. This is known as: Summoning your prior knowledge. _______ is when you talk through your material and verbalize your thoughts to help you make more sense of the material and internalize it more deeply. Thinking Aloud _______ helps you organize your thoughts and assess what you know. Writing Using concept maps or graphic organizers is another great way to visualize material and see th...

refers to the processes used to plan, monitor, and access one's understanding and performance. Metacognition The key to metacognition is asking yourself _______ questions. self-reflective Before you begin to study or attend a lecture, look at the topic that is covered, and ask yourself what you know about it already. This is known as: prior knowledge Talk through your material and verbalize your thoughts to help make more sense of the material and internalize it. Think aloud Helps you Ta...

What is the purpose of HIPAA? • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform Ref. More on HIPAA: HIPAA resides in which CFR section? 45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? HIPAA - 45 CFR 164, subparts: Subpart A - General rules Subpart C - Secur...

True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past c. Self-disclose this issue to limit the chance o...

HIPAA became law 1996 What is the purpose of HIPAA? • To make health insurance portable under ERISA; • To move health care onto a nationally standardized electronic billing platform; and • To prevent fraud, waste and abuse Intent purpose of this subtitle to improve the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the efficiency and effectiveness of the health care system, by encouraging the development of a healt...

You are the new compliance officer for a hospital and see that it is currently under an OIG CIA. What would be the first course of action in your new position? a. Review the current OIG Work Plan and update the audit schedule for the hospital. b. Review the Code of Conduct and Policies and Procedures and update them as appropriate. c. Meet with the Compliance Board and discuss your vision of how compliance will be run in the future. d. Review the audit schedule and pick up where the previo...

A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid. A. Statistical Sampling B. Rat-Stats C. Snap ...

Comprehension-Knowledge (Gc) The depth and breadth of a person's acquired knowledge. Crystallized intelligence. Fluid Reasoning (Gf) Problem-solving in relatively novel situations, particularly those requiring deductive and inductive reasoning Short-term Working Memory (Gwm) The ability to consciously store, maintain, and use information presented within a few seconds Cognitive Processing Speed (Gs) Speed of mental processing when performing relatively simple cognitive tasks under condit...

Compliance means (Compliance Program) Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not state frequency of exclusion verifications. How frequent should exc...

At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified independent contractor? a. first level appeal b. second level appeal c. third level appeal d. fourth level appeal b. second level appeal There are five levels of appeal. First level entails a redetermination of claim; second level involves reconsideration by a qualified independent contractor; third level includes a hearing overseen by admin law judge; fourth level is a review of Medicar...

Federal Sentencing Guidelines - Culpability Score Aggravating Factors 1. upper-level employee participates, condones, or ignores offense 2. repeat offense 3. hinder investigation 4. awareness and tolerance of violation is pervasive Federal Sentencing Guidelines - Culpability Score Mitigating Factors 1. effective compliance program 2. reported promptly 3. cooperation with investigation 4. accept responsibility Federal Sentencing Guidelines - Seven Elements of an Effective Compliance Pro...

Chapter 8 Federal Sentencing Guidelines (FSG) Guidelines and policy in this section apply to sentencing in federal criminal prosecution when the convicted defendant is an organization FSG- 4 factors that increase ultimate punishment of an organization 1.Involvement in or tolerance of criminal activity 2.Prior history of the organization 3.The violation of an order 4.The obstruction of justice FSG- The two factors that mitigate the ultimate punishment of an organization 1.The existence of...

When organic wastes are discharged to receiving waters, O2 is depleted by _____. bacteria Hydrogen sulfide gives off an odor similar to____. rotten eggs 3 diseases potentially carried by wastewater are _____. typhoid fever, disentery, cholera Immediate first aid for butrns is to ____. flood with cold water What most likely causes an electic motor failure? mopisture What mixed liquor characteristics indicate a healthy activated sludge process? brown color, frothy appearance, and musty odor ...

domestic wastewater Comes from schools, homes, hospitals, businesses, light industrial facilities. population equivalents 100 lbs wastewater per day, .2 lbs TSS/day, .17 BOD/day industrial wastewater Comes from industries. Compatible wastes can be processed by the plant. Incompatible wastes are toxic to the plant. sanitary wastewater The combined domestic and industrial waste waters from community. storm water Water that runs off roads, parking lots, and other impervious surfaces during r...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) 1.Protect our programs 2.Protect your patients 3.Protect the Provider #:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20protect%20y ou%20the%20provider. At...

William Bradford A governor and historian of plymouth colony John Winthrop Governor of Massachusetts Bay colony Why did settlers come to america? Religious freedom What was the difference between the Pilgrims and puritans? The pilgrims came looking for religious freedom while the puritans came for religious freedom and many puritans came for economic opportunity too. --The puritans came much more prepared with food than the Pilgrims. --The Pilgrims came wanting to leave the Church of Engl...