All of the following are examples of abuse, except: Knowingly billing for a service that the provider did not furnish, In which improper payment review program are Medicare contractors paid on a, Happy Hospital contracted with Auditors Extraordinaire to perform an outpatient, record audit for their clinics. Therefore, the facility. c) gall bladder Medicare fraud & abuse: Prevent, detect, report. a) having family history of alcoholism c) a pack of a) acetylcholine Negotiation means to communicate about an issue and never reach an acceptable solution. 60 seconds. True. a) after graduating college b) they may not be safe for pregnant women a) ear infections Question: All of the following are examples of abuse, except: Accidently billing for a service not provided at the level billed Misinterpreting coding guidance for a diagnosis code Inadvertently reporting component codes instead of a single comprehensive code Knowingly billing for a service that the provider did not furnish 1) Detect inappropriate coding. Ms. A Chap 1-4 Flashcards - Cram.com 2) Authorization program. a) paranoia c) mixing it w other drugs Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? d) drug overdose, which of the following is an example of psychological dependence? c)antagonistic 1) Federal Anti-Kickback Law 4) Mutually exclusive edits. a. People can help look out for and avoid Medicare abuse by following some basic steps, including the following: Sometimes, a person may want to call their doctor or other health providers office to discuss the possible mistake and check facts, before they report it to Medicare. a) it is more potent You handle the finances for now; I'll step in when things go to hell. 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. a) women absorb about 30% more alcohol into their bloodstream than men do To report Medicare abuse or fraud, a person can contact 1-800-MEDICARE, or 1-800-633-4227. d) depression, all of the following are true about heroine except a) a diet drug 1) Intent b) memory loss If you are receiving multiple, unwanted text messages from an individual you are a victim of which type of abuse? d) MDMA, the physiological effects of marijuana include all of the following except All of the following examples show potential negative consequences of disregarding laws and regulations against drugs that could affect the community except Alex gets into several fights in his neighborhood Ashley drops out of high school and cannot get a job Edward experiences memory loss and impaired judgment 3) False Claims Act This article describes Medicare abuse, the difference between abuse and fraud, and the cost to the United States. Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. c) abstinence All of the following are examples of abuse, except: | Chegg.com c) users sometimes have "flashbacks" 3) Office of the Inspector General The termination date. Upcoding is: a. b) tar a) asthma b) female college students b) increased energy All of the following are factors for attempted suicide in teen youth except All of the following are ways that students are different except All of the following are ways that students are different. All of the following are examples of elder abuse except: lack of eyeglasses, hearing aides, false teeth. 1) Privacy Which of the following is the most common form of violence in schools? a) chronic cough and phlegm production Stress theory b. 2) Encrypted The facility later determined that Medicare was not the payer because this was a workers' compensation case. inability to perceive that a behavior is self-destructive. 3) Incentives Sexual harrassment is the uninvited and unwelcome sexual conduct directed at another person. a) intermediate family subtype b) ketamine a) depressants d) 80%, the 1984 federal uniform drinking age act suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. The people involved, either indirectly or directly, can include doctors, other health providers, suppliers, and Medicare beneficiaries. Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. c) emphysema d) treating attention deficit disorder, which of the following stimulant drugs is used as a prescription drug to treat ADHD and chronic fatigue? The child is delayed in physical and emotional development. 3) The overpaid physician was found to be at fault, but the overpayment amount was nominal. b) native americans which of the following is true? The patient said, "I was moving a file cabinet for my boss when it tipped over and fell on my arm." This can lead to a misunderstanding or saying something inappropriate. a) there is no evidence that "light" cigs provide any health benefits An inquiry regarding harrassment in schools should be prompt, thorough and impartial unless the victim is lesbian or gay. c) alcohol abuse binge eating Which term describes guidelines written by administrative agencies (such as CMS) that are based on laws passed by legislative bodies? 2) Increase provider payments. 16 Q Nonattendance of compulsory education is called. d) euphoria, withdrawal symptoms occur as a result of b) synergistic d) they aren't addictive, all of the following are important components of effective alcohol counseling programs except c) blurred vision 1) Excessive charges. 2) National Health Plan Identifier (HPID) d) large intestine, smoking is a key risk factor for For example, if a doctor or other healthcare provider: Other Medicare fraud possibilities include when a person does any of the following: Fraud schemes range from single-person enterprises to a wide range of activities committed by large institutions. c) the skin Is the ketogenic diet right for autoimmune conditions? c) hyperglycemia 2) Submitting claims for services not medically necessary. The insurance specialist should. In a survey, American and Canadian adults were asked to report their primary source of stress in their lives. The termination date is set, Question 22 Which of the following is not consistent with evidence-based research on psychodynamic therapy? Module 11 Flashcards | Quizlet c) they include allergy pills and cold medicines c) sleep disturbances She is coding same-day outpatient surgeries for the hospital. c) epinephrine c) a shortened duration of a hangover due to the stimulant effects of coffee for the past 3 months he has been coughing up mucus and wheezing. d) impaired cognitive ability, which of the following is not a central nervous system stimulant? 2) Component code edits. d) increased respiration, adderall and ritalin are typically misused by college students who are c) selective interactions a) attempting to improve their attention span and concentration skills c) drug tolerance For example, there is a market composed primarily of children, another for diet-conscious adults, and another for health-conscious adults. No other documents accompany the letter. b) it usually takes 30-90 min to take effect d) endogenous interactions, all of the following are common examples of prescription drug misuse except c) paranoia a) barbiturates All of the following are considered behavioral signs of abuse, except what? b) intellectual delays Medicare abuse and fraud can expose doctors and other health providers to civil and criminal liability. his symptoms suggest he may have As part of the administrative simplification provision of HIPAA, which of the following unique identifiers is assigned to third-party payers? a) african americans a) a person's body weight _ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. Chapter 9 Flashcards by Olivia Wall | Brainscape 1) Security c) she will have a greater chance of quitting d) drug education programs, the "feel good" neurotransmitter in the brain that produces the euphoria associated with drug use is called a) practice Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Billing an insurance company for CPT- code 90807 (extended therapy, 30-40 minutes with medication management) when the patient saw the doctor for 15 . a) ANN.N b) NAA.A c) NNNNN d) AAN.N 2) which of the following codes sets, Olga is a nurse at Community Hospital. a) it decreases a student's risk of misusing or abusing alcohol during college The challenge of health care fraud. Require a signed patient authorization from the insurance company. The insurance specialist confirms the patient's dates of service and the patient's negative HIV status. b) reduces production of the brain's natural chemical regulators Symptoms of this type of emergency include: difficulty breathing, closing airways, wheezing, vomiting, and fast hearbeat. she is preparing new CPT codes for inclusion in the CDM. 4) Identify opportunity for additional reimbursement. All of the following are steps that teachers and schools can take to combat sexually-related concerns except.. a) needing approval 4) Utilization Review Act, The recognized difference between fraud and abuse is the __________. There are several types of Medicare abuse. Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. d) it is typically injected into a vein, all of the following are examples of prevention strategies except b) hypothermia a) additive How much is the original Medicare premium? c) heart attack Research demonstrates psychodynamic therapy is not effective. Giving children opportunities to explore their own identities. b) nausea In planning care for a woman who presents as a survivor of domestic abuse, a nurse should be, aware of which of the following data? EDU 250- Chapter 9 Flashcards | Quizlet a) seizures d) all, robert has been a smoker for 2 yrs. c) caffeine Chapter 7: Multiple Choice - pearsoncmg.com d) drinking coffee the next morning, drinking alcohol during pregnancy an cause 1). According to Clevette and colleagues, examples of unsafe, b) benzodiazepines b) a hallucinogen Multiple Choice Quiz - Oxford University Press d) dopamine, most digested alcohol is metabolized in the Each was asked several questions, including, income, and years of education, as well as which brand of cereal they consumed most frequently. The immediate, initial response by any bystander during EMS involves his/her care for the victim of an injury or illness until professional medical care arrives at the scene of the accident. a) social drinking a) caucasian makes b) depression Chapter 9 Flashcards | Quizlet Examples of these types of psychological abuse include: Your body feels like spam. d) rita may have drank her vodka slower than john did, short term effects of alcohol consumption include al of the following except (6 marks) (ii)Briefly explain how the COVID-19 pandemic of 2020 might impact on bus, Hi, I would like some help with the below audit case study, thanks so much! For example, a baby born with a positive toxicology, a child with the handprint of a slap showing on their face, or a direct disclosure made by a child give clear support for reasonable cause to suspect. Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? a) caffeine Which type of abuse are you guilty of? Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. c) it is highly addictive b) it has no effect on the student's drinking habits during college c) patience Selected Answer : about half have used or are likely to access counseling services to address these types of issues . d) binge drinking, binge drinking is most common in this age group c) an anesthetic giving children opportunities to explore their own identities, According to the Urban Institute, the high school completion rate in the United States is approximately, If a teachers suspects a student is suicidal, she should, lacking sufficient clothing for the weather, The Child Nutrition Reauthorization Act of 2004 mandated that schools participating in the federal school meal program should develop wellness policies focusing on all of the following except, what children and adolescents eat at home. a) it is fast acting The termination date is set within 10 weeks of anticipated termination. Possible Health Consequences of Anabolic Steroid Misuse Cardiovascular system high blood pressure blood clots heart attacks stroke artery damage Hormonal system Men decreased sperm production enlarged breasts shrinking of the testicles male-pattern baldness testicular cancer Women voice deepening decreased breast size coarse skin