Anti kickback statute - Study guides, Class notes & Summaries
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MEDICARE+ FRAUD, WASTE, AND ABUSE 2024 WITH VERIFIED CORRECT ANSWERS.
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Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? 
Report the incident to the compliance department (via compliance hotline or other mechanism) 
 
 
 
You are performing a regular inventory of the contro...
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AAHAM CRCE 2023 EXAM STUDY GUIDE WITH COMPLETE SOLUTION
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1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 
 
3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided b...
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AHFI Exam | 168 Questions and Answers Solved 100% Correct!!
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Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions - Prohibits offering, paying, soliciting or 
reviving anything of value to induce or reward referrals or generate Federal health care program 
business 
Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Referrals from anyone 
Anti-Kickback Statute (42 US SS 1320a-7b (b) - Any items or services 
Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Intent MUST be proven (knowing and 
willful) 
Anti-Kickback Statute (42 US SS 1320a...
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Naham Exam Latest Update with Verified Solutions
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Naham Exam Latest Update with Verified 
 
Solutions 
 
AIDET acknowledge, introduce, duration, explanation, thank you 
 
Press Ganey provides patient service satisfaction surveys, used for both public relations & 
performance improvement 
 
KPI Key Performance Indicator 
 
KPI Example Preregistration percentage, wait times, accuracy rate, pos collections, 
productivity 
 
HEAT Hear them out, empathize with the customer, apologize, take responsibility for 
actions 
 
PPE personal protective equip...
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AHFI Exam Latest Update Graded A+
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AHFI Exam Latest Update Graded A+ 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions Prohibits offering, paying, 
soliciting or reviving anything of value to induce or reward referrals or generate Federal health 
care program business 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals Referrals from anyone 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) Any items or services 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) Intent MUST be proven (knowing 
and willful) 
 
...
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AHFI EXAM QUESTIONS AND ANSWERS
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Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions - Answer-Prohibits offering, paying, soliciting or reviving anything of value to induce or reward referrals or generate Federal health care program business 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Answer-Referrals from anyone 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) - Answer-Any items or services 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Answer-Intent MUST be proven (knowing and willful) 
 
Anti...
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NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS
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NCCT REVIEW LAW AND ETHICS EXAM 
QUESTIONS AND ANSWERS 
1. Which of the following activities is an example of abuse rather than fraud? 
A. upcoding 
B. misrepresenting the diagnosis 
C. inadvertent coding errors 
D. billing for services not rendered - Answer-inadvertent coding errors 
Rationale 
Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. 
Upcoding, misrepresenting the diagnosis, and billing for services not rendered are 
examples of fraud. Inadvertent ...
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AHFI Exam Study Guide Questions and Answers Top Graded A 2024
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Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions - Prohibits offering, paying, soliciting or reviving anything of value to induce or reward referrals or generate Federal health care program business 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Referrals from anyone 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) - Any items or services 
 
Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Intent MUST be proven (knowing and willful) 
 
Anti-Kickback Statute (42 US SS ...
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Compliance 101 - Glossary of Compliance Terms 2023/2024 questions and answers
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Compliance 101 - Glossary of Compliance Terms 2023/2024 questions and answers 
Anti-Kickback Statute - answer-Prohibits the solicitation, receiving, offering, or 
paying of any remuneration directly or indirectly in cash or in-kind exchange. 
Attestation - answer-The affirmation by signature, usually on a printed form, that 
the action outlined has been accomplished by the individual signing; e.g., the 
individual has read the code of conduct and agreed to adhere to its principles. 
Attorney-Cl...
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NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS
- Exam (elaborations) • 24 pages • 2024
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NCCT REVIEW LAW AND ETHICS EXAM 
QUESTIONS AND ANSWERS 
1. Which of the following activities is an example of abuse rather than fraud? 
A. upcoding 
B. misrepresenting the diagnosis 
C. inadvertent coding errors 
D. billing for services not rendered - Answer-inadvertent coding errors 
Rationale 
Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. 
Upcoding, misrepresenting the diagnosis, and billing for services not rendered are 
examples of fraud. Inadvertent ...
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