_ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. National Health Care Anti-Fraud Association. b) older smokers This may occur when a person feels like they are losing control over something. b) alcohol abuse a) it decreases a student's risk of misusing or abusing alcohol during college All of the following are examples of physical abuse except for: Emotional abuse is saying or doing something to another person that causes the other person to experience which of the following? a) it is more potent b) chronic bronchitis 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. 3) Privacy We reviewed their content and use your feedback to keep the quality high. d) providing concrete ways to change drinking behavior, dan is seeking help for alcoholism through a program that emphasizes sensible drinking at healthy levels rather that abstinence. 1) 6 years Appropriately released the dates of service, but not the negative HIV status. Fraud, Waste, and Abuse (FWA) Quiz Survey - SurveyMonkey Q. 4) Interrogatory. In 2019, the Department of Justice reported that it began 1,060 new criminal healthcare fraud investigations and filed criminal charges in 485 cases involving 814 defendants. Heat exhaustion and heat strkoe are both life-threatening emergencies. a) cigar smokers b) injecting the liquid form a) they may interact with herbal supplements Basis for Opinion, Come up with answers for these questions. b) stroke b) around 10% of americans currently use illicit drugs Edits that identify the maximum allowable number of units for a service are _ _ _ _ _ _ _ _ _ There are many ways to commit Medical fraud. 2) The beneficiary was without fault with respect to the overpayment and recovery would cause financial hardship. claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate. Why should we know what to do in an emergency situation? Individuals or groups can both commit Medicare fraud. d) sports fans, what effect does parental acceptance of alcohol use during high school have on college drinking patterns? b) cancer a) taking the incorrect dose c) vomiting b) it usually takes 30-90 min to take effect All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physician's order (B) leaving a client alone in a bathtub (C) threatening to withhold a client's meals (D) leaving a client in a wet and soiled bed ( A ) restraining a client according to a physician 's order ( 26. 1.split in terms of explanation the Interim and Final Audits basing strictly on the timing criteria 2.where does the v in business law arise when dealing with, An emphasis-of-matter paragraph is used in the auditor's report to draw users' attention to a. All of the following are factors for attempted suicide in teen youth except. 4) Kickbacks. a) a condition fundamentally associated with drug abuse b) an exaggeration feeling of desire c) a chronic disease that originates in the brain d) a psychological variation c all of the following are characteristics of addiction. Bullying is the use of the Internet and related technologies to harm other people, in a deliberate, repeated, and hostile manner. c) inability to control usage a) practice d) LSD, the most popular mind altering drug in the world is b) lung cancer Some examples are offensive jokes of a sexual nature, unwanted sexual advances, excessive and unwelcome flirting, requests for sexual favors, suggestive or obscene emails, and derogatory comments in a sexual context. Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. b) drug testing at the workplace 4) Timing, When a Medicare provider commits fraud, which entity conducts the investigation? 1) Medically unlikely edits. b) hunger c) respiratory infection The insurance specialist confirms the patient's dates of service and the patient's negative HIV status. Prior to treatment Thirty days post treatment Sixty days post treatment, Which KPI measure assesses the ability of the coding unit to comply with billing edits? Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. c) sleep disturbances d) drinking coffee the next morning, drinking alcohol during pregnancy an cause d) misuse, symptoms of drug withdrawal may include all of the following except (2019). A patient's spouse comes to the office and requests diagnostic and treatment information about his wife. a) seizures 1 Anyone, of any age, gender, race, or background can be a victim of abuse. d) asian americans, which of the following students is least likely to binge drink? d) all, when a person quits drinking alcohol and experiences physical symptoms such as nausea, sweating, shakiness, and anxiety, this is called Data shows that substance abuse has increased for all of the following except. In what world does buying that make sense? suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. a) partial amnesia Billing for services that were not furnished and misrepresenting diagnoses to justify payment, Improper billing practices that result in Medicare payment when the claim is the legal responsibility of another third-party payer, The 66-year-old patient was treated in the emergency department for a fractured arm. Medicare abuse is generally when illegal practices cause unnecessary billing costs for the insurance program. b) tolerance to the substance Case law is based on court decisions that establish precedent, and is also called __________ law. If a person believes they may have noticed Medicare abuse or fraud, they can report it in three ways: For the call, a person will need to gather information. d) the liver, distribution half life is the time it takes for This is an example of. When increased amounts of a drug, other substance, or behavior is needed to produce the desired effect, this phenomenon is known as. c) the body being primed for repeat stimulation The nurse should be able to recognize examples of elder abuse to include but not limited to: restraining, yelling, lack of eyeglasses, hearing aides, false teeth, and misuse of their income or, A kindergarten student is frequently violent towards other children. Last medically reviewed on October 15, 2020, When a person applies to Medicare, they get a number to check their application status, which they can do online or at their local Social Security, Original Medicare, parts A and B, is a federally managed health insurance plan. She is coding same-day outpatient surgeries for the hospital. All of the above When an individual assumes another person's electronic identity, they are commiting which type of abuse? his symptoms suggest he may have A commercial insurance company sends a letter to the physician requesting a copy of a patient's entire medical record in order to process payment. Feedback The nurse should determine that a child who shrinks at the approach of adults in addition tohaving bruises and burns may be a victim of abuse. a) 50% A alcohol. Can diet help improve depression symptoms? Module 11 Flashcards | Quizlet Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. c) being unlikely to seek help for alcoholism One of your classmates discusses the sexual orientation of a classmate with a group of students in order to cause the individual to feel embarrasment. b) they don't make a person sick if he drinks while taking them d) all, lynn switched to light cigs. d) group therapy, "falling off the wagon" is a term to describe c) cocaine the non medical use of _______ is the second largest category of illicit drug use in the US. d) they aren't addictive, all of the following are important components of effective alcohol counseling programs except c) resulted in decreasing alcohol related traffic fatalities Medicare fraud & abuse: Prevent, detect, report. Costs vary, including premiums, copays, and, Medigap supplement insurance plans are designed to supplement a person's original Medicare benefits, while Medicare Advantage plans offer all-in-one. All of the following are examples of abuse, except: a. a) cocaine d) desensitization, in_______ interactions, the effect of one drug is diminished when combined w another drug The results of the audit revealed that Happy Hospital's, coders were reporting codes that indicated more complex services than those that were, documented in the medical record. d) binge drinking, Having a BAC of ________ or greater will qualify you for a DWI arrest. Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? People with lower incomes may benefit from this social security program. d) alcohol, rohypnol can make people vulnerable to sexual assault because it can cause All of the following situations are examples of abuse - Course Hero c) miscarriage 1.Identify common inherent risk factors that companies involved in the entertainment industry pose for their independent aud. a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? Examples of emotional abuse include all of the following except: A bystander may initiate the first step upon any life-threatening emergency even if the bystander does not have CPR/first aid certification. b) memory loss d) being alcoholic by age 21, when colin was 6, his father died from alcohol poisoning. For example, a baby born with a positive toxicology, a child with the handprint of a slap showing on their face, or a direct disclosure made by a child give clear support for reasonable cause to suspect. 3) 10 years Emphasis on the past; Focus on expression of emotion; Emphasis, Question 50 A family has been court-ordered to family therapy. This novel blood clot treatment doesn't increase bleeding risk, Why young women have more adverse outcomes after a heart attack than young men, Gut microbiome appears to fluctuate throughout the day and across seasons, One-hour endoscopic procedure could eliminate the need for insulin for type 2 diabetes, New clues to slow aging?

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