Fraud waste abuse 2 - Study guides, Class notes & Summaries

Fraud, Waste, Abuse – 2 Actual Questions and Answers 100% Correct | New Update 2024

Medicare plan means Correct Answer: A MA plan, MA-PD plan or PDP Subcontractor means Correct Answer: **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance prog...

What is the purpose of HIPAA? -Answer • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform Ref. More on HIPAA: HIPAA resides in which CFR section? -Answer 45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? -Answer HIPAA - 45 CFR 164, subparts: ...

HIPAA became law ~~>1996 What is the purpose of HIPAA? ~~>• To make health insurance portable under ERISA; • To move health care onto a nationally standardized electronic billing platform; and • To prevent fraud, waste and abuse Intent ~~>purpose of this subtitle to improve the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the efficiency and effectiveness of the health care system, by enco...

MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC 1. What is the role of the NMC? a) To represent or campaign on behalf of nurses and midwifes b) To regulate hospital or other healthcare settings in the UK c) To regulate health care assistance d) To regulate nurses and midwives in the UK to protect the public 2. What is the purpose of The NMC Code? a) It outlines specific tasks or clinical procedures b) It ascertains in detail a nurse's or mi...

HCAD 222 Exam 21. Which of the following is the most prevalent chronic disease of old age? 2 .______ is the chief, primary government program that pays for health care for elderly Americans. 3. In 1983, Congress responded to the high costs of hospital care under Medicare Part A by introducing ______. 4. Once someone is admitted to a nursing home, they are likely to remain there for the rest of their lives. 5. A multidimensional functional assessment is best described as involving which of th...

HCAD 222 Exam 2 1. Which of the following is the most prevalent chronic disease of old age? 2 .______ is the chief, primary government program that pays for health care for elderly Americans. 3. In 1983, Congress responded to the high costs of hospital care under Medicare Part A by introducing ______. 4. Once someone is admitted to a nursing home, they are likely to remain there for the rest of their lives. 5. A multidimensional functional assessment is best described as involving which of ...

What is the purpose of HIPAA? ~~>• Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform Ref. More on HIPAA: HIPAA resides in which CFR section? ~~>45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? 2 | P a g e | © copyright 2024/2025 | Grade A+ Mas...

e CORRECT ANSWER 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 false CORRECT ANSWER Once a corrective action plan is started, the corrective actions must be monitored annually to ensure they are effective. : True False false CORRECT ANSWER Any person who knowingly submits false claims to the Gover...

Fraud, Waste, Abuse – 2 Questions and Answers 100% Accurate Fraud, Waste, Abuse – 2 Questions and Answers 100% Accurate Fraud, Waste, Abuse – 2 Questions and Answers 100% Accurate Fraud, Waste, Abuse – 2 Questions and Answers 100% Accurate