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. A school nurse notices, bruises and burns on a child's face and arms. People with lower incomes may benefit from this social security program. 4) Analysis of national insurance policies. suicide attempt, drug overdose d. car accident, life-threatening illness All of the following theories explain individual reactions to a crisis event EXCEPT: a. a) asthma Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. 4) Overcharging for services. d) drug overdose, which of the following is an example of psychological dependence? inability to perceive that a behavior is self-destructive. a) nicotine a) cocaine It can also refer to an action or practice that fails to offer people services that are medically necessary. 2) Subpoena b) rita may have eaten a meal high in protein and fat prior to drinking d) nausea, inhalants include 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? 1) Federal Anti-Kickback Law d) antidepressants, all of the following statements about over the counter medicines are correct except c) selective interactions The CPA will state in which section of the audit report that the firm is registered with the PCAOB? c) nerve damage Which type of abuse does the following scenario involve? the non medical use of _______ is the second largest category of illicit drug use in the US. The insurance specialist should. This drinking pattern is called 4) Utilization Review Act, The recognized difference between fraud and abuse is the __________. c) developmental disabilities c) tolerance 3) Confidentiality b) a hallucinogen In which type of review does the RAC require the review of clinical medical record documents to confirm the improper payment? b) restlessness d) they don't present any of the challenges associated with prescription drugs, combining acetaminophen and alcohol can lead to The spouse is the primary policyholder on a policy for which his wife is named as a dependent. a) decreased urination 2) The intent of the individual. a) psychological dependence c) alertness c) .06% 2) 7 years If you are receiving multiple, unwanted text messages from an individual you are a victim of which type of abuse? b) female college students b) young adult subtype b) ketamine 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. d) binge drinking, Having a BAC of ________ or greater will qualify you for a DWI arrest. 3) The overpaid physician was found to be at fault, but the overpayment amount was nominal. According to Clevette and colleagues, examples of unsafe, common disciplinary actions reviewed by boards of nursing include all of the following EXCEPT- a). physician response to CDI specialist rate. c) users sometimes have "flashbacks" claim selection, medical record requests, review of claims, assignment of improper payment categories, calculation of the improper payment rate 2023 Healthline Media UK Ltd, Brighton, UK. c) the skin Individuals or groups can both commit Medicare fraud. a) they're safer than regular cigs d) all, free basing cocaine means the user is a) an immoral desire to experience intoxication An inquiry regarding harrassment in schools should be prompt, thorough and impartial unless the victim is lesbian or gay. 2) Encrypted The cereal choices are: Fiber One, a cereal that is designed and advertised as healthy, Cheerios, a combination of healthy and tasty. 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 a bathtub (C) threatening to withhold a client's meals (D) leaving a client in a wet and soiled bed ( A ) restraining a client according to a physician 's order ( 26. National Correct Coding Edits were developed to: Question 3 1 out of 1 points Extrafamilial sexual abuse refers to exploitative sexual contact with perpetrators who may be known to the child . which of the following is the best way for him to treat his hangover? 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. How much is the original Medicare premium? Mary, a coding supervisor, is doing an audit on gallbladder surgeries. c) suffering from anxiety disorders 2. What other symptoms should indicate to the nurse. 3) Subpoena duces tecum a) after graduating college The child encourages interactions with adults. b) synergistic 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. d) dopamine, most digested alcohol is metabolized in the Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? According to the National Child Abuse and Neglect Data System, approximately how many children were victims of abuse in 2011? c) abstinence Cyber bullying is being mean to someone through which of the following: Sexual violence (abuse) is any sexual behavior in which one hasn't freely given their consent. Fraud can also occur when a person tries to obtain money or other compensation for services or items for which they get Medicare reimbursement, or when they make banned referrals. b). c) drinking water or a sports drink the next moribund Organized crime groups can also falsely represent themselves as Medicare providers or suppliers. c) forgetting to take a dose of the medication c) epinephrine c) rates of drug abuse are highest in rural areas b) raised the national drinking age to 21 4) Interrogatory. Each was asked several questions, including, income, and years of education, as well as which brand of cereal they consumed most frequently. Federal and state statutes are __________. 3) Provide an audit tool. a) a drug to achieve peak level in the bloodstream d) it is typically injected into a vein, all of the following are examples of prevention strategies except 1) Security management What is the difference between Medicare Advantage and Medigap? d) tropical administration, heroine commonly enters the body through which method of drug administration? Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. All of the following are considered behavioral signs of abuse, except what? c) african americans b) native americans The difference between fraud and abuse is: c) small intestine a. c) vomiting b) sudden infant death syndrome 3) 10 years The termination date is set, Question 22 Which of the following is not consistent with evidence-based research on psychodynamic therapy? a) emphysema Question 8. colin started drinking and using marijuana at the age of 12. as an adult, colin has been diagnosed with bipolar disorder. which code set does she use to report procedure codes? 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) an increase in dehydration and worsening of a hangover c) HIV c) resulted in decreasing alcohol related traffic fatalities c) abdominal aortic aneurysm In what world does buying that make sense? 2) Coding conventions in CPT. b) withdrawal c) intercollegiate athletes d) binge drinking, binge drinking is most common in this age group The challenge of health care fraud. 2) Confidentiality Data shows that substance abuse has increased for all of the following except. b) hunger b) chronic bronchitis 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. All of the following are examples of elder abuse except: lack of eyeglasses, hearing aides, false teeth. a) women absorb about 30% more alcohol into their bloodstream than men do There is a bewildering number of breakfast cereals on the market. 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? d) group therapy, "falling off the wagon" is a term to describe c) hyperglycemia b) antagonistic interactions The nurse should be able to recognize examples of elder abuse to include but not limited to: restraining, yelling, lack of eyeglasses, hearing aides, false teeth, and misuse of their income or, A kindergarten student is frequently violent towards other children. b) she will inhale fewer hazardous chemicals than she did w regular cigs b) hypothermia c) 18-24 National Health Care Anti-Fraud Association. A. b) half a pack of Which type of abuse does the following scenario describe? d) five, all of the following statements regarding bidis are true except a) social drinking d) .08%, all of the following increase a person's risk for abusing alcohol except One of your classmates discusses the sexual orientation of a classmate with a group of students in order to cause the individual to feel embarrasment. c) they include allergy pills and cold medicines c) mucosal absorption d) asian americans, she. c) enlargement of the bronchi a) experiencing withdrawal when the drug is inaccessible d) 25-30, which of the following ethnic groups has the highest percentage of current drinkers? The symptoms for the deepest burns are classified as first-degree burns. 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. B) there will be provider screening. b) inhalation Negotiation means to communicate about an issue and never reach an acceptable solution. b) they may not be safe for pregnant women This is an example of. b) reduces production of the brain's natural chemical regulators Which of the following is the correct order for the CERT process? b) restlessness d) depression, all of the following are true about heroine except b) nicotine experience of a blackout episode or memory loss. which of the following illicit drugs is most popularly used in the US? We avoid using tertiary references. a) snorting the powder form Course Hero is not sponsored or endorsed by any college or university. Why should we know what to do in an emergency situation? Each company produces several different products in the belief that there are distinct markets. Bullying is the use of the Internet and related technologies to harm other people, in a deliberate, repeated, and hostile manner. d) relapse, eating alcoholism requires all of the following except (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 As a result, it is important to determine the causes and possible cures. a) tobacco Can diet help improve depression symptoms? There are several types of Medicare abuse. d) endogenous interactions, all of the following are common examples of prescription drug misuse except 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 which of the following would be considered drug misuse? c) how much and how quickly a person drinks b) tolerance a) intermediate family subtype d) volatile, according to national surveys, slightly more than _________ of the adults in the US drink alcohol 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. c) opioids Medicare abuse and fraud are unlawful practices that may result in unnecessary costs billed to the insurance program. 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. When increased amounts of a drug, other substance, or behavior is needed to produce the desired effect, this phenomenon is known as. a) depressants The patient said, "I was moving a file cabinet for my boss when it tipped over and fell on my arm." c) stimulants 3) Office of the Inspector General 3) Allow the patient's spouse to review the actual record in the office, but not release a copy. d) sports fans, what effect does parental acceptance of alcohol use during high school have on college drinking patterns? 1) Abuse Giving children opportunities to explore their own identities. c) fraternity and sorority members Prior to treatment Thirty days post treatment Sixty days post treatment, Which KPI measure assesses the ability of the coding unit to comply with billing edits? b) having low self esteem After the physician orders medications, Olga administers them to the patient. 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) injection Sexting is fun and flirty and there are no laws against it. Data shows that substance abuse has increased for all of the following, All of the following are ways that students are different. There are many ways to commit Medical fraud. c) sudden infant death syndrome a) caucasian makes d) one or both of their parents smoke, which of the following ethnic groups has the highest rate of smoking? Pespiration is a symptom of a heart attack. d) euphoria, withdrawal symptoms occur as a result of a) drinking additional alcohol the next morning a) ingestion a) paranoia a) birth defects c) heart attack d) alcohol, rohypnol can make people vulnerable to sexual assault because it can cause a) mouth Overall, the statistics show that the level of substance abuse in children and teenagers is. 3) Voluntary compliance program. 3) False Claims Act b) intellectual delays It also looks at how to recognize and report these practices. a) there is no evidence that "light" cigs provide any health benefits Should have billed the employer's workers' compensation payer for the ED visit. b) obesity If a person believes they may have noticed Medicare abuse or fraud, they can report it in three ways: calling Medicare at 1-800-633-4227, or 1-877-486-2048 for TTY users. Obtain a signed patient authorization from the wife before releasing patient information. d) increased respiration, adderall and ritalin are typically misused by college students who are 1) Obtain a signed patient authorization from the wife before releasing patient information. The advanced practice psychiatric nurse using a solution focused therapy model would, Question 82 Which of the following is consistent regarding termination in brief psychodynamic therapy? NCCI edits are based on all of the following except: b) increased energy c) GABA what is the role of the state in socialization, all of the following are characteristics of addiction. 2) Administrative simplification 1) Deposition b) over 25 billing for services that are not medically necessary, improperly using billing codes to increase reimbursement, bills Medicare for services they have not provided, bills for services different from the care they give to patients, pays for referrals of Federal healthcare program beneficiaries, continuing to bill Medicare for rented durable medical equipment (DME) after their return, advising people that Medicare will pay for a service or supply when this is not true, using a stolen Medicare number or card to submit fraudulent claims, billing for a doctor appointment that a person did not attend, reviewing all Medicare Summary Notices for errors, and reporting anything that looks wrong or suspicious to Medicare, checking statements from Medicare Advantage plans, as they should show all a persons services and prescriptions, comparing appointment dates and the type of health services received with the statements received from Medicare, checking all receipts and statements for possible mistakes, calling Medicare at 1-800-633-4227, or 1-877-486-2048 for TTY users, contacting the Senior Medicare Patrol (SMP) resource center at 877-808-2468, contacting the Inspector General fraud hotline at 1-800-447-8477, doctor or healthcare providers name and any identifying information, service or item in question and when it was given or delivered, dollar amount approved and paid by Medicare, the date on the Medicare Summary Notice or claim. Prejudging or forming an opinion about someone or something is called. c) lethargy Nonattendance of compulsory education is called. d) all, lynn switched to light cigs. c) 70% b) they have more nicotine than regular cigs 4) Risk management program. c) their friends smoke d) lower blood pressure, symptoms of caffeine withdrawal may include all of the following except 1) National Provider Identifier (NPI) Which legislative act requires schools that receive federal funding to actively prevent bullying and to respond to all instances of it? This article describes Medicare abuse, the difference between abuse and fraud, and the cost to the United States. Heat exhaustion and heat strkoe are both life-threatening emergencies. 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. b) native americans Which of the following is the most common form of violence in schools? a) they have never heard that smiling can kill you 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? except a) increased pleasure from engaging in the behavior b) denial c) continued to use despite negative consequences Which organization grants the CCS-P credential? c) a shortened duration of a hangover due to the stimulant effects of coffee a) 50% 1.Identify common inherent risk factors that companies involved in the entertainment industry pose for their independent aud. _ _ _ _ _ _ _ involves restricting access to patient information to only authorized personnel. d) lifestyle changes, well or i he following are reasons for young adults to start smoking except that c) respiratory infection The child encourages interactions with adults. 4) U.S. Attorney General. b. 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 c)antagonistic Abuse does not include which of the following examples? b) it is less potent d) it encourages the student to drink responsibly during college, blood alcohol content (BAC) is affected by which of the following All of the following are steps that teachers and schools can take to combat sexually-related concerns except.. b) glutamate All of the following are signs of physical abuse 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. All of the following are such events EXCEPT: a. tornado or flood b. violent events such as child abuse, domestic abuse, crime c. psychopathology that triggers a crisis i.e. 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. b) liver d) drinking coffee the next morning, drinking alcohol during pregnancy an cause 2) Release a copy of the information to the patient's spouse because he is the primary policyholder. c) patience All of the following are true of homelessness. The beneficiary was without fault with respect to the overpayment and recovery would cause financial hardship. MNT is the registered trade mark of Healthline Media. b) taking the medicine at the wrong time c) paranoia b) older smokers We reviewed their content and use your feedback to keep the quality high. Which of the following is consistent regarding termination in brief psychodynamic therapy? d) all, robert has been a smoker for 2 yrs. a) seizures 2) Fraud Which of the following is the most common form of violence in schools? 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. c) miscarriage d) lower tolerance for the drug, drug use over a long period of time typically leads to what condition in the body? b) endorphin 60 seconds. All of the following are signs of physical abuse except. c) being unlikely to seek help for alcoholism 2) Security b) they don't make a person sick if he drinks while taking them except, all of the following are forms of behavioral addictions except, which of the following is the most often used illicit substance as reported by college aged adults. Instruct the attorney to obtain the patient's signed authorization. A. 4) Privacy standards, Information that is converted to a secure language format for electronic transmission is __________ data. Billing an insurance company for CPT- code 90807 (extended therapy, 30-40 minutes with medication management) when the patient saw the doctor for 15 . B. bob smokes he feels a sense of pleasure. 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. a) additive b) at 21 years of age 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. b) a person's gender 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 d) completing the required course of medication, the prescription drugs most common misuses are a) caucasians which of the following is true with respect to marijuana use. d) at middle age, where does the most alcohol absorption occur? 3) Whether improper payments are made or not. True. The insurance specialist should. d) it is more commonly prescribed by doctors, methamphetamine use may cause all of the following except Many forms of verbal harassment can be considered sexual harassment. she is preparing new CPT codes for inclusion in the CDM. this type of counseling is called d) younger smokers, nicotine activates the pleasure center of the brain and raises levels of neurotransmitter called Which of the following is an example of fraud? Brainscape helps you realize your greatest personal and professional ambitions through strong habits and hyper-efficient studying. b) stomach a) athletes a) high levels of dopamine being released in the brain d) decreased heart rate, long term effects of marijuana may include all of the following except According to the National Child Abuse and Neglect Data System, approximately how many children were victims of abuse in 2011? b) motivational enhancement All of the following are examples of physical abuse except for: Emotional abuse is saying or doing something to another person that causes the other person to experience which of the following? a) LSD Restlessness, skin that is pale, cool, moist, and rapid breathing and pulse are all symptoms of shock. d) drug education programs, the "feel good" neurotransmitter in the brain that produces the euphoria associated with drug use is called The termination date is set within 10 weeks of anticipated termination. In a survey, American and Canadian adults were asked to report their primary source of stress in their lives. d) misuse, symptoms of drug withdrawal may include all of the following except c) emphysema 4) National Individual Identifier, Medicare mandates that records must be retained for a minimum of Teen Marriage All of the following are ways that students are different except. a) needing approval d) all, second hand smoke can cause or exacerbate which of the following health conditions? 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. c) gall bladder b) around 10% of americans currently use illicit drugs Choose the correct choice. 3) Electronic data interchange b) tolerance to the substance 1) Privacy Which of the following examples is not included in the tension building phase of an abusive relationship? Overall, since 1960, the teen birth rate has, Overall, the statistics show that the level of substance abuse in children and teenagers is, those who live within a specific geographic location, those with whom students may come in contact through everyday activities, the neighborhood, town, city, or county in which a student lives, homeless students are more likely to be held back a grade, over 2/3 of homeless parents are unemployed, 62% of children placed in foster care come from formerly homeless families. It is usually treated by following the RICE method (Rest, Ice, Compression, Elevation). Medicare Extra Help can help people access prescription drug coverage. a) CPT and HCPCS level II b) HCPCS, Which method is best practice for cost sharing collection? 2) Component code edits. 3) Coding guidelines by national specialty societies.
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