False claims act - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

Well-structured HFL1501 Assignment 6 (ANSWERS) Semester 1 2024 - DISTINCTION GUARANTEED. (DETAILED ANSWERS - DISTINCTION GUARANTEED!). QUESTION 1 1.1 Read the following statement and answer the question that follows: “South Africa has an uncodified legal system.” In your own words, discuss how this fact impacts on a lawyer who is searching for a remedy with regard to a legal question. (4) 1.2 Name one country of which you have learned in this module that has a codified legal system. (1) ...

HFL1501 Assignment 6 (COMPLETE ANSWERS) Semester 1 2024 - DUE 9 May 2024 ;100% TRUSTED workings, explanations and solutions. ............ QUESTION 1 1.1 Read the following statement and answer the question that follows: “South Africa has an uncodified legal system.” In your own words, discuss how this fact impacts on a lawyer who is searching for a remedy with regard to a legal question. (4) 1.2 Name one country of which you have learned in this module that has a codified legal system. (1) [...

Rules of Construction Help to identify and establish the intent of the parties to the contract Utmost good faith Each party is entitled to rely on the representation of the other, and each party should have a reasonable expectation that the other is acting in good faith without attempts to conceal or deceive. Aleatory Contract A contract under which one party's performance is contingent on an uncertain event. property and casualty agent has the power to bind the insurer...

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...

CDFA Module 2 Exam Questions And Answers Asset most likely to be couple's most valuable? - ANS- Family Home Separate Property - ANS- Property a person brings into the marriage; inherits during the marriage; or receives as a gift during the marriage. Marital Property - ANS- Everything acquired during the marriage, regardless of which spouse owns the property (including the increase in value of property in some states). Key documents for collecting financial information - ANS- financial...

Chapter 01 – An Introduction to Business Ethics Multiple Choice 1. Principles are a. laws and regulations that guide behavior in the world of business. b. mores, values, and customs that guide behavior in general. c. specific and pervasive boundaries for behavior that are universal and absolute. d. the obligations businesses have to maximize their positive impact and minimize their negative impact. e. the mores, values, and customs that parents teach their children. ANSWER: c 2. Corpor...

HFL1501 Assignment 6 (COMPLETE ANSWERS) Semester 1 2024 - DUE 9 May 2024 ;100% TRUSTED workings, explanations and solutions. ........... QUESTION 1 1.1 Read the following statement and answer the question that follows: “South Africa has an uncodified legal system.” In your own words, discuss how this fact impacts on a lawyer who is searching for a remedy with regard to a legal question. (4) 1.2 Name one country of which you have learned in this module that has a codified legal system. (1) [5...

WGU - D265 - Critical Thinking - Reason and Evidence Latest Update (2022/2023) Already Passed PROPOSITIONS Are statements that can be true or false NON-PROPOSITONS Are sentences that are not statements about matters of fact or fiction. They do not make a claim that can be true or false. SIMPLE PROPOSITIONS Have no internal logic structure, meaning whether they are true or false does not depend on whether a part of them is true or false. They are simply true or false on their own. (Example: Har...

NEW YORK INDEPENDENT FIRE ADJUSTER EXAM SIMULATOR - SERIES 17-64 Mason has suffered a $42,000 loss to his commercial building due to fire. The building is covered under the Building & Personal Property coverage form and had been vacant for 74 days. The insurer would have paid the entire loss if the building had been occupied, but what will they pay because the insured building was considered vacant? $28,980. $42,000. $6,300. $35,700. - ANS For a loss that would otherwise be covered f...