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Admin Roles Fraud, Waste, Abuse – Qs And As
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Admin Roles Fraud, Waste, Abuse – Qs And As
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Admin Roles Fraud, Waste, Abuse – Qs And AsWhat is Waste? ✔️Ans - Unnecessary costs: spending that could be
eliminated without harming consumers or reducing the quality of care that
people receive
Is the following an example of Fraud, Waste, or Abuse?
The patient wants hot packs. While Hot packs have little benefit, you use them
on the first visit to establish an alliance and document as such. At the
conclusion you explain what patients can do to independently place heat on
their involved side. ✔️Ans - Waste
What is Abuse? ✔️Ans - Actions that are improper, inappropriate, outside
acceptable standards of professional conduct, or medically unnecessary.
What is the following an example of?
Misusing codes on a claim ✔️Ans - Fraud
What is fraud? ✔️Ans - Any deliberate and dishonest act committed with
the knowledge that it could result in an unauthorized benefit to the person
committing the act
What is the following?
Billing for items and services that have not been rendered ✔️Ans - Fraud
What is the following an example of?
Charging excessively for service or supplies ✔️Ans - Abuse
What is the following an example of?
Billing for services that were not medically necessary ✔️Ans - Abuse
What is the following an example of?
Failures of Care Delivery ✔️Ans - Waste
What is the following an example of?
Failures of care coordination ✔️Ans - Waste
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