Jessypeace

Harassment Defined: ! "The Equal Employment Opportunity Commission defines harassment as: "Unwelcome conduct that is based on a person's protected class, including: race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, weight, height, misdemeanor arrest record, marital or veteran status or any other characteristic protected by law. What is Harassment Anything that is offensive or unwelcome !" Words !" Actions !" Music !" ...

ACA Section 1557 differs from earlier legislation in providing broader protection against discrimination based on a. disability. b. national origin. c. age. d. sex. d Section 1557 of the Affordable Care Act applies to a. all health programs and activities administered by or receiving federal financial assistance from HHS. b. Medicare Advantage plans only. c. all health programs and activities, public and private. d. health plans sold through the ACA Marketplaces only. a

How to recognize FWA in the Medicare Program Knowledge of the law including the Civil False claims Act, Health Care Fraud Statute, and Criminal Fraud, Anti-Kickback Statute, Stark Statute, Exclusion from all Federal healthcare programs, and the Health Insurance Portability and Accountability Act. Civil False Claims Act Makes a person liable to pay damages to the government if 1. He or she knowingly conspires to commit FWA. 2. Carries out other acts to obtain property from the government by...

Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? a.Do what your immediate supervisor asked you to do and adjust or add risk diagnosis codes b.Report the incident to the compliance department (vi...

Ways to report potential Fraud, Waste, and Abuse (FWA) include: a. Telephone hotlines b. Mail Drops c. In-person reporting to the compliance department/supervisor d. Special Investigations Units (SIUs) e. All of the above e Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. : True False false Any person who knowingly submits false claims to the Government is liable for five times the Government's damages c...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? Deportation A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 16...

Bribes or kickbacks of any kind for services that are paid under a Federal healthcare program (which includes Medicare) constitute fraud by the person making as well as the person receiving them. True Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. False Any person who knowingly submits false claims to the Government is liable for five times the Government's damages caused by the violator plus a penalty. False ...

Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. False Ways to report potential fraud, waste, and abuse (FWA) include: All of the above Any person who knowingly submits false claims to the government is liable for five times the government's damages caused by the violator plus a penalty. False These are examples of issues that should be reported to a compliance department: suspected fraud, waste, and abuse (FWA...

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Original Medicare covers ambulance services. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be covered for Part A...

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Original Medicare covers ambulance services. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be covered for Part A...

Which of the following is the wound classifications for a bronchoscopy: Clean Contaminated Dirty and infected Clean-contaminated Clean-Contaminted Which of the following structures is located in the alveolar processes? Teeth Sinuses Tonsils Villi Teeth The enzyme used to soften the zonules of the lens before cataract surgery is: Atropine sulfate Alpha-chymotrypsin Acetylcholine chloride

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? Fraud Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting Fraud, Waste, and Abuse (FWA)? Deportation A person comes to your pharmacy to drop off a prescription for a beneficiary who is a "regular" customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 1...

Compliance is the responsibility of the compliance officer, compliance committee and upper management only False Ways to report a compliance issue include All of the above What is the policy of non-retaliation Protects employees who, in good faith, report suspected non-compliance These are examples of issues that can be reported to a compliance department :suspected fraud, waste, and abuse; potential health privacy violation and unethical behavior/employee misconduct True Once a ...

Tympanosplasty Surgical operation performed for the reconstruction of the eardrum (tympanic membrane) and/or small bones of the middle ear (ossicles) After gowning and gloving, a surgeon activates the Duraprep applicator and proceeds to prep the patient for surgery. What is the best action to take at this time? Regown and reglove the surgeon What position is used for a pneumonectomy? Lateral What is the kraske position? Anatomical position in which the patient is prone, with hips fl...

a aterm referring to nosebleed is epitaxis a catheter placed into the stomach during a gastrostomy procedure is a/an pezzer a common fear of pediatric patients that the surgical technologist must address is separation from parents a concern of the OR that can be a source of ignition is static electricity a critical component of a disaster plan that impacts the operating room is the receiving area and triage of patients a degenerative joint disease is osteoarthritis a direct o...

Which of the following is the opening in the occipital bone through which the spinal cord passes? foramen magnum Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. Which of the...

Which of the following structures is located in the alveolar process? a. teeth b. villi c. sinuses d. tonsils a. teeth Villi are finger-like projections Sinuses are air filled cavities Tonsils are in the throat Which of the following is the wound classification for a bronchoscopy? a. clean b. contaminated c. dirty and infected d. clean-contaminated d. clean-contaminated No contamination occurred No fluids encountered The aerodigestive tract was entered The enzyme used...

Which of the following structures is located in the alveolar processes? Teeth Which of the following is the wound classification for a bronchoscopy? Clean - Contaminated The enzyme used to soften the zonules of the lens before cataract surgery is: Alpha- chymotrypsin How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR? Enter head first, exit feet first Which of the following is a curved, transverse incision across the lower abdom...

Which of the following is the opening in the occipital bone through which the spinal cord passes? A. foramen ovale B. foramen magnum C. foramen rotundum D. foramen of Bochdalek B. foramen magnum Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? A. Cover the sterile field with a s...

WHICH OF THE FOLLOWING IS A SIGN OF CARDIAC ARREST? CYANOSIS List in order the sequence of induction for general anesthesia: leads placed on the patient patient is prompted to breathe 100% oxygen induction agent is given through an I.V. patient is intubated anesthetic gas agent is selected and applied Place the following phases of wound healing by first intention in correct order from first to last: Inflammatory proliferation remodeling