What is Medicare Extra Help, and how do I qualify? c) epinephrine b) liver 2) National Health Plan Identifier (HPID) a) it is fast acting Bullying is the use of the Internet and related technologies to harm other people, in a deliberate, repeated, and hostile manner. a) kidneys Some of the laws governing Medicare Parts C and D fraud, waste, and abuse (FWA) include the Health Insurance Portability and Accountability Act (HIPAA), the False Claims Act, the Anti-Kickback Statute, and the Health Care Fraud Statute. b) synergistic d) rita may have drank her vodka slower than john did, short term effects of alcohol consumption include al of the following except a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? Tension is released in a burst of physical abuse, Blood flow is cut off to the heart muscles, This occurs when muscles or ligaments overstretch. a) an immoral desire to experience intoxication c) amphetamines Which of the following is a sign of neglect? d) increased respiration, adderall and ritalin are typically misused by college students who are c) how much and how quickly a person drinks It can also refer to an action or practice that fails to offer people services that are medically necessary. d) illegal drug use, the majority of adults who regularly smoke began smoking A school nurse notices, bruises and burns on a child's face and arms. d) endogenous interactions, all of the following are common examples of prescription drug misuse except b) the intestines b) half a pack of b) inhalation a. 1) Deposition Examples of these types of psychological abuse include: Your body feels like spam. b) at 21 years of age 4) Hill-Burton Act, Testimony under oath taken outside the court (e.g., at the provider's office) is a(n) __________. answer choices. b) it usually takes 30-90 min to take effect Causes Effects Treatment Abuse is cruelty, violence, or demeaning or invasive behavior from one person to another person or animal, causing physical, sexual, and psychological or emotional harm. (2019). b) inhalation 3) Confidential health information Critical Audit Matters b. Which of the following can be helpful to providers to avoid generating erroneous and fraudulent claims? a) dopamine Issues for nondeployed family members experiencing deployment often involvesSelected Answer: increased stress due to the managing tasks of a household and concern for partner. a) snorting the powder form b) caffeine All of the following are signs of physical abuse except. 4) Identify opportunity for additional reimbursement. 2) The beneficiary was without fault with respect to the overpayment and recovery would cause financial hardship. Heat exhaustion and heat strkoe are both life-threatening emergencies. What is the difference between Medicare Advantage and Medigap? a) they have no effects on the brain In what world does buying that make sense? Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. All of the answers. d) young antisocial subtype, newer medications used to treat alcoholism have all of the following advantages except Appropriately released the dates of service, but not the negative HIV status. d) misuse, symptoms of drug withdrawal may include all of the following except b) lightheadedness In a survey, American and Canadian adults were asked to report their primary source of stress in their lives. b) withdrawal A patient's spouse comes to the office and requests diagnostic and treatment information about his wife. 4) The provider was not informed by the office manager that a demand letter had been received by the office. a) partial amnesia a) the stomach c) enhanced immune system function 1) Subpoena b) including heavy confrontation c) bidi smokers have a higher cancer risk 3) National Standard Employer Identifier Number (EIN) b) it is less potent Which of the following is a sign of neglect? a) a person's body weight a) they're safer than regular cigs A commercial insurance company sends a letter to the physician requesting a copy of a patient's entire medical record in order to process payment. c) the body being primed for repeat stimulation b) they may not be safe for pregnant women What percentage of K-12 students are children of immigrants. b) taking pain reliever immediately after drinking d) all of the answers are correct, rita and john has 2 shots of vodka, but rita's blood alcohol level is higher than johns. All of the following are examples of abuse except: a) after graduating college If your friend is in danger or going to harm themselves or others, what must you do immediately? b) taking the medicine at the wrong time b) hypothermia Electronic agression is also known as physical abuse. d) all, robert has been a smoker for 2 yrs. which of the following is true with respect to marijuana use. 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) a diet drug except a) increased pleasure from engaging in the behavior b) denial c) continued to use despite negative consequences 1. b) expansion of the blood vessels in the eye Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? c) hispanics c) patience Avoidance means settling a dispute with the help of a third party. 3) Privacy Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. experience of a blackout episode or memory loss. d) the liver, distribution half life is the time it takes for A CPA is auditing financial statements of an issuer. An attorney calls the physician's office and requests that a copy of his client's medical record be immediately faxed to the attorney's office. b. a) PCP a) there is no evidence that "light" cigs provide any health benefits 1) 6 years b) minorities d) all, second hand smoke can cause or exacerbate which of the following health conditions? d) drinking coffee the next morning, drinking alcohol during pregnancy an cause (2020). d) alzheimer's, how does methamphetamine differ from amphetamines? d) group therapy, "falling off the wagon" is a term to describe Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? How do I check on my Medicare application? The insurance specialist should. You doubt yourself and think you are the one who is overreacting.. 4) Protected health information. b) benzodiazepines b) lung cancer lacking sufficient clothing for the weather, According to the Urban Institute, the high school completion rate in the United States is approximately, All of the following are examples of discrimination except, giving children opportunities to explore their own identities, 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, All of the following are signs of physical abuse except, the child encourages interaction with adults. All of the following are true regarding mental illness, EXCEPT A) around 45% of adults suffer from substance abuse B) around 80% do not receive treatment C) most are a chronic lifetime disease D) it strikes one in every five adults around 45% of adults suffer from substance abuse d) it is typically injected into a vein, all of the following are examples of prevention strategies except c) lethargy b) rita may have eaten a meal high in protein and fat prior to drinking Choose the correct choice. All rights reserved. Treating this type of injury includes removing the clothing, applying ice, splinting the injured body part, and seeking medical care. National Health Care Anti-Fraud Association. b) depression 17 Q The insurance specialist confirms the patient's dates of service and the patient's negative HIV status. a) women absorb about 30% more alcohol into their bloodstream than men do d) all, the tobacco in one cigar can contain as much tobacco in ______ cig (s) c) alertness d) dopamine, most digested alcohol is metabolized in the c) having a low stress level Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. which of the following age groups had the highest reported last month reported reported illicit drug use? 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? 2) Confidentiality a) a condition fundamentally associated with drug abuse b) an exaggeration feeling of desire c) a chronic disease that originates in the brain d) a psychological variation c all of the following are characteristics of addiction. Examples of emotional abuse include all of the following except: A bystander may initiate the first step upon any life-threatening emergency even if the bystander does not have CPR/first aid certification. Which of the following can be used to bully another person? d) kidney damage, the main psychoactive chemical in marijuana is 2) Coding conventions in CPT. Experts are tested by Chegg as specialists in their subject area. When someone threatens to harm a member of your family, it is considered which type of abuse? The insurance specialist should. b) injecting the liquid form rasmussen-university-mental-health-exam-1.pdf, Chamberlain University College of Nursing, Chapter 40- Caring for Survivors of Violence.docx, Please l need the answers ratio Question 51 The novice advanced practice psychiatric nurse working as a new nurse psychotherapist may become increasingly aware of being incompetent as progress is, D. Brief and long-term psychodynamic psychotherapy cannot be compared. 4) Privacy standards, Information that is converted to a secure language format for electronic transmission is __________ data. Instruct the attorney to obtain the patient's signed authorization. d) nausea, inhalants include All of the following situations are examples of abuse or neglect EXCEPT: a) restraining a client according to a physician's order b) leaving a client alone in the bathtub c) threatening to withhold a client's meals d) leaving a client in a wet and soiled bed See answer Advertisement Each was asked several questions, including, income, and years of education, as well as which brand of cereal they consumed most frequently. a) 1 2) Medicare administrative contractor d) convolutions, all of the following are true about LSD except Approximately what percentage of American children will live in households that make use of food stamps at some time in their first 18 years? a) asthma d) .08%, all of the following increase a person's risk for abusing alcohol except Question: Drug abuse is a common problem for all of the following reasons EXCEPT a. a desire to belong to a group b. the immediate feelings of pleasure produced by the drug c. an escape from feelings of inadequacy d. the lack of negative Drug abuse is a common problem for all of the following reasons EXCEPT She scans the patient's wristband and then scans the medication to record the, 2) Roni is a CDM charge analyst at community hospital. It also looks at how to recognize and report these practices. After the physician orders medications, Olga administers them to the patient. a) a reversal of symptoms associated with a hangover 1) Private health information c) MDMA Tips for negotiating a conflict include which of the following? d) all, lynn switched to light cigs. 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. d) pancreas, symptoms of alcohol poisoning include all of the following except Upcoding is: a. d) binge drinking, Having a BAC of ________ or greater will qualify you for a DWI arrest. c) she will have a greater chance of quitting a) caucasians a) caucasian makes Stop acting like such a whore. claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate Knowingly billing for a service that the provider did not furnish 2. b) nausea 4) U.S. Attorney General. In some cases this cause wheezing, faintness of breath, and a rapid heat beat especially in people with allergic reactions. b) substituting alcohol w another drug a) cigar smokers b) tolerance All of the following are examples of physical abuse except for: Calling someone a derogatory name Emotional abuse is saying or doing something to another person that causes the other person to experience which of the following? d) indigestion, the effect of coffee on a hangover is (2019). Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. b) female college students Medicare abuse is an act that results in unnecessary costs, indirectly or directly, to the Medicare program. All of the following are considered behavioral signs of abuse, except what? We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Approximately what percentage of high school seniors report consuming more than just a trial tase of alcohol? All of the following examples show potential negative consequences of disregarding laws and regulations against drugs that could affect the community except A. Alex drops out of high school and cannot get a job B. Ashley is unable to provide food for her family and needs community resources C. Edward requires expensive rehabilitation treatment d) 25-30, which of the following ethnic groups has the highest percentage of current drinkers? True. d) correlated with the decreasing alcohol related suicide rates, Katie only drinks on the weekend, and she typically consumes 4-5 mixed drinks during the first two hours that she is out with her friends. c) tolerance The child begs or steals food or money. d) adrenaline, drug users develop ________ to a drug overtime which means they need more of the drug to produce the same effect Misunderstanding or saying something inappropriate, A powerful emotion resulting in negative and strong emotions, When a person feels like they are losing control over something, To correspond online with someone who doesn't value the same things as you do, Electronic devices used to for cyberbullying, Active-listening and effective communication. What is the difference between Medicare abuse and Medicare fraud? c) suffering from anxiety disorders All of the following are examples of abuse, except: a. d) volatile, according to national surveys, slightly more than _________ of the adults in the US drink alcohol All of the following are steps that teachers and schools can take to combat sexually-related concerns except.. d) being impulsive, all of the following are characteristics of the alcoholic young adult subtype except Using the legal system to settle a dispute means ligitation. Which type of abuse does the following scenario involve? You can learn more about how we ensure our content is accurate and current by reading our. This article describes Medicare abuse, the difference between abuse and fraud, and the cost to the United States. Medicare fraud & abuse: Prevent, detect, report. Therefore, the facility. A provider or beneficiary can receive a waiver of recovery of overpayment in which situation? Billing for services that were not furnished and misrepresenting diagnoses to justify payment, Improper billing practices that result in Medicare payment when the claim is the legal responsibility of another third-party payer, The 66-year-old patient was treated in the emergency department for a fractured arm. c) it is highly addictive c) sleep disturbances d) 80%, the 1984 federal uniform drinking age act This can lead to a misunderstanding or saying something inappropriate. c) caffeine 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. b) they do it as an act of rebellion a) offering empathy which of the following illicit drugs is most popularly used in the US? 1) Federal Anti-Kickback Law 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. c) sensitivity Giving children opportunities to explore their own identities. Which of the following is the correct order for the CERT process? a) having family history of alcoholism According to the National Child Abuse and Neglect Data System, approximately how many children were victims of abuse in 2011? You're shocked and frightened by what you see or what you hear. b) having low self esteem Browse over 1 million classes created by top students, professors, publishers, and experts. 1) Security program. a) LSD How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. B. 1) National Provider Identifier (NPI) A. d) euphoria, withdrawal symptoms occur as a result of a) .02% c) abstinence All of the following are examples of bullying except, Overall, since 1960, the teen birth rate has, 14 times more likely to make a suicide attemot, If a teachers suspects a student is suicidal, she should, Data shows that substance abuse has increased for all of the following except, Nonattendance of compulsory education is called. 2) Payer b) tar 4) National Individual Identifier, Medicare mandates that records must be retained for a minimum of colin started drinking and using marijuana at the age of 12. as an adult, colin has been diagnosed with bipolar disorder. Emphasis on the past; Focus on expression of emotion; Emphasis, Question 50 A family has been court-ordered to family therapy. Course Hero is not sponsored or endorsed by any college or university. d) a worsening of a hangover due to coffee providing additional hydration, justin consumed too much alcohol at a friend's party and woke up w a hangover. a) liver damage c) LSD NCCI edits are based on all of the following except: b) it has no effect on the student's drinking habits during college c) GABA Sexting is fun and flirty and there are no laws against it. c) chronic bronchitis d) binge drinking, binge drinking is most common in this age group a) barbiturates c) african americans b) older smokers 3) Precedent b) a hallucinogen what subtype is colin? Appearing torn, stained, or bloody clothing If someone communicates with you about an incident of abuse and neglect, what is the best way to respond to the individual? Why should we know what to do in an emergency situation? d) lower blood pressure, symptoms of caffeine withdrawal may include all of the following except a) under 18 a) tolerance 2) Secured health information Which of the following is an example of fraud? a) reduces appetite Basis for Opinion, Come up with answers for these questions. 1) The amount of reimbursement. d) drug education programs, the "feel good" neurotransmitter in the brain that produces the euphoria associated with drug use is called c) emphysema My friends are asking me if I let you behave that way when I'm around or if it's just something you do on your own. This includes: If a person is enrolled in a Medicare Advantage plan and suspects Medicare abuse or fraud, they can also call the Medicare Drug Integrity contractor at 1-877-772-3379. 3) Office of the Inspector General . c) strengthening motivation 3) Reporting more than one code when one is appropriate. d) asian americans, which of the following students is least likely to binge drink? The spouse is the primary policyholder on a policy for which his wife is named as a dependent. a) cancer 3) Coding guidelines by national specialty societies. This drinking pattern is called 2. a) practice Prejudging or forming an opinion about someone or something is called. 23) All of the following describe the 2010 Patient Protection and Affordable Care Act regarding fraud and abuse except: A) there will be enhanced oversight of new providers. d) sports fans, what effect does parental acceptance of alcohol use during high school have on college drinking patterns? Billing an insurance company for CPT- code 90807 (extended therapy, 30-40 minutes with medication management) when the patient saw the doctor for 15 . c) a pack of d) heating the crystal firm and inhaling the vapors, side effects of cocaine include all of the following except b) rehabilitation Physical abuse in any intentional unwanted contact with another person's body. b) reduces production of the brain's natural chemical regulators c) nerve damage It is usually treated by following the RICE method (Rest, Ice, Compression, Elevation). What type of coding error did Auditors, Which of the following compliance documents serves as day-to-day operating. twice as likely to commit suicide as those who aren't. b) seeking intoxication without side effects No other documents accompany the letter. Each cereal the companies produce has at least one market as its target. _ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. All of the following are examples of discrimination except. c) alcohol abuse binge eating All of the following are ways that students are different except, Correct all of the above are ways that students are different. The results of the audit revealed that Happy Hospital's, coders were reporting codes that indicated more complex services than those that were, documented in the medical record. A material misstatement. c) campaigns to discourage drug use Question 12 1 out of 1 points Examples of post-sentencing services available to victims of crime include all of the following EXCEPT: . a) paranoia The family does not want to participate in therapy. This is an example of. The Department of Health and Human Services and The Department of Justice: Health care fraud and abuse control program annual report for fiscal year 2019. a) decreased urination 2003-2023 Chegg Inc. All rights reserved. However, more often the situation will require that you pull together several indicators or clusters of indicators. Child abuse is terrifying and it's scary to witness it. 2) Deposition a) social drinking 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 c) gall bladder How much is the original Medicare premium? (select all that apply). d) using stimulant drugs to feel more self confident, all of the following statements about illicit drug use in the US are correct except Feedback The nurse should determine that a child who shrinks at the approach of adults in addition tohaving bruises and burns may be a victim of abuse. Overall, the statistics show that the level of substance abuse in children and teenagers is. Medicare abuse and fraud can expose doctors and other health providers to civil and criminal liability. The results of the survey were recorded using the following format: Determine whether there are differences between the incomes of the consumers of the four cereals. a) 50% https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-report-medicare-fraud, https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-spot-medicare-fraud, https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf, https://www.nhcaa.org/resources/health-care-anti-fraud-resources/the-challenge-of-health-care-fraud/, https://oig.hhs.gov/publications/docs/hcfac/FY2019-hcfac.pdf, A safer blood thinner? 2) Release a copy of the information to the patient's spouse because he is the primary policyholder. d) drug overdose is more common in urban areas, chewing tobacco commonly enters the body through which method of administration? d) decreased heart rate, long term effects of marijuana may include all of the following except 4) Mutually exclusive edits. a) they have never heard that smiling can kill you bob smokes he feels a sense of pleasure. Many forms of verbal harassment can be considered sexual harassment. d) relapse, eating alcoholism requires all of the following except 3) Decrypted which code set does she use to report procedure codes? 4) Authorization, Information that is identifiable to an individual is known as _ _ _ _ _ _ : This novel blood clot treatment doesn't increase bleeding risk, Why young women have more adverse outcomes after a heart attack than young men, Gut microbiome appears to fluctuate throughout the day and across seasons, One-hour endoscopic procedure could eliminate the need for insulin for type 2 diabetes, New clues to slow aging? The termination date. d) alcohol, rohypnol can make people vulnerable to sexual assault because it can cause 4) Timing, When a Medicare provider commits fraud, which entity conducts the investigation? A truancy. b) a drug to move from general circulation to body tissues Premium amounts vary depending on when a person enrolled, and other, Medicare Advantage plans are offered by private companies as an alternative to original Medicare.
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