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HOM EXAM 3 QUESTIONS WITH LATEST ANS 2024!!
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HOM EXAM 3 QUESTIONS WITH LATEST ANS 2024!!
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HOM EXAM 3 QUESTIONS WITH LATEST ANS2024!!
Common types of health care fraud include: Answer - All of the above
True or False? Durable Medical Equipment Suppliers are considered high risk
operations for fraud control. Answer - True
True or False? Effective fraud control must include ongoing and agile
enhancements to efforts of fraud detection and prevention. Answer - True
True or False? Fraud control effectiveness is easy to measure and assess.
Answer - False
True or False? Health Care Fraud is not an issue for managed care
organizations. Answer - False
True or False? Miami, Florida is known as the "ground zero" for health care
fraud. Answer - True
Critical measures in the contact center include Answer - -Abandon rate
Member services is responsible for all of the following activities, except:
Answer - Adjudicating claims
The greatest volume of interactions between an health plan and its members
will occur by means of: Answer - Telephone
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