CRP: General Fraud Waste and Abuse Questions And Answers Graded A+
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CRP: General Fraud Waste and Abuse
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CRP: General Fraud Waste And Abuse
I work in Radiology and have noticed a specific nurse performs comprehensive exams on patients
without documenting them. Despite not documenting the exams, I know patients still get a bill for them
What should I do? - Report the situation to my leader or compliance leader; what we bill always
ne...
CRP: General Fraud Waste and Abuse I work in Radiology and have noticed a specific nurse performs comprehensive exams on patients without documentin g them. Despite not documenting the exams, I know patients still get a bill for them What should I do? - ✔✔Report the situation to my leader or compliance leader; what we bill always needs to match documentation. Recurring payment denials could indicate s ubmission of false claims. True or False? - ✔✔True It is important to adequately document that services performed were medically necessary. True or False - ✔✔True. My coworker is going through a tough time at home, and he's texted me several times within the last month to clock him in when he's running late. I want to help him out, but I don't want to get in trouble. He says it's not a big deal because he stays late and works off the clock. IS this an example of fraud? - ✔✔Yes, it's fraud when an employee clocks -in another employee. Which of the following situations may indicate a false claim: A: A physician performs a service she is not licensed for and bills the patient; B: The billing system is programmed to insert diagnosis codes on a claim to pass M edicare claim edits; C: A doctor applies his name to a claim even though he was not in the office and the nurse practitioner performed the service; D: A medical coder does not see appropriate documentation for the codes that were chosen by the physician's office, so he reaches out to the physician for documentation clarification; E: A medical coder is told to always code a physician's service a certai n way, even if there is no documentation of the service in the medical record. - ✔✔A, B, C, E A non -retaliation policy ensures that an employee who reports suspected violations in good faith will not be subject to intimidation, threats, or coercion, or an y retaliatory action. True or False - ✔✔True
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