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CMS Fraud Definition  Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition  An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud  Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a higher payment amount, billing a Medicare pat...

When auditing operative notes, the auditor will expect to see documentation from all of the following except:  Surgical assistants. According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), an outside auditor must sign which of the following agreements prior to reviewing and auditing any medical records?  Business Associate Agreement When auditing an ENT practice, you discover the practice uses an EMR. Which of the following options would you look fo...

Set up the multiplication vertically. Remember to insert a place holder of 0 when you multiply 416 by 7. Answer is 29,120. 416 × 70 = A. 29,536 B. 29,120 C. 486 D. 2,912 ~ 1 ~ for inquiry mail me @ Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025 E. None of these Start by writing four and two fifths as an improper fraction: 4 2/5 = 22/5 Subtract, and then write the answer as a mixed number: 22/5 − 35 = 22 − 3/5 = 19/5 = 3 4/5 4 2/5 − 3/5 = A. 3 4/5...

An Acid- balance rinse may be used  to preserve the color in tinted hair After a permanent wave what advise should the cosmetologist give to the client for at home maintenance to help ensure the perm does not quick relax :  *Use an alkaline shampoo followed by alkaline rinse . *Brush the hair frequently during the first three days to even out the curl. *Use a moisturizing conditioner *Use an acid balance shampoo followed by an acid rinse After applying permanent wave solution , ...

Corrugations  Nail disorder - Horizontal wavy ridges caused by uneven growth due to illness or injuries. Furrows  Nail disorder - vertical lines down the nail plate caused by nutrition, injury or illness. Leuconchia  White spots on the nail caused by injury to the base of the nail Onychorrhexis  Split or brittle nails caused by injury, careless filing, vitamin deficiencies, illness, and frequent exposure to strong chemicals. Hang Nails  Caused by dry cuticle and car...

the test used to check for corneal light reflex in each eye, and its symmetry is called  hirshberg test What is the difference in recurrent sinusitis and chronic sinusitis  recurrent is defined as successive episodes of bacterial infections of the sinuses each lasting less than 30 days and separated by intervals of at least 10 days.  chronic is defined as episodes of inflammation of the paranasal sinuses lasting more than 90 days. first line of treatment of AOM in children? ...

A mom calls your clinic and states that her child has a fever of 101, you should see immediately if: a)10 mos old w/mild ear pain b) 18 mos old w/diarrhea c) 3 year old w/runny nose d) 6 mos old & cries continuously  Answer: D Most common organisms for AOM is/are: A. Strep pneumonia B. Hamophilus influenzae (H flu) C. Moraxella catarrhalis (M cat) D. All of the above  Answer: D The safest dilating agent to use in infants is: a) 0.5% tropicamide ~ 1 ~ for inquiry mail me @ ...

Acute onset of severe pain and vomiting suggests what?  + Peritoneal irritation  + Acute gastric or intestinal obstruction  + Pancreaticobiliary disease (McPhee p 588) Persistent vomiting suggests what?  + Pregnancy  + Gastric outlet obstruction  + Gastroparesis  + Intestinal dysmotility  + Psychogenic disorders  + CNS or systemic disorders (McPhee p 589) Vomiting in the morning suggests what? ~ 1 ~ for inquiry mail me @ Best Grades | Must Pass | Latest...

Agency/Organization Program Coordinator (A/OPC)  Manages and oversees CH and Managing Accounts Approving/Billing Official (A/BO)  Reviews and approves GPC Managing Account Invoices and transaction supporting data for compliance Certifying Officer  Reviews Managing Account invoices in accordance with DoD Financial Management Regulation (DoD FMR) requirements Resource Manager (RM)  Provides appropriate GPC account funding Cardholder (CH)  Is issued a GPC cardholder acco...

Which Of the Governmentwide Commercial Purchase Card Program's Mandatory oversight procedures involves validating that all data mining cases are closed and assessing the key purchasing and management internal controls?  Daily Data Mining Case Reviews ////// Semi-annual head of activity reviews//// Procurement Management Reviews/////// How Long does Foreign Military Sales Documentation have to be retained following a case closure  6 Years and 3 Months //////// 8Years//// 6 Yea...