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Health Insurance Chapter 5

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show abuse  
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A legan newspaper published every business day by the national archives and records administration (NARA)   show
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show fraud  
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show medicare administative contractor  
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show national health plan id (planID)  
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show national provider identifier (npi)  
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show overpayment  
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Document published by medicare that contains new and changed policies and/or procedures that are to be incorporated into a specific CMS program manual   show
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show record retention  
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What is the main difference between fraud and abuse?   show
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show billing services not provided, unbundling codes  
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Name an example of abuse:   show
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Name an example of medicare abuse:   show
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show subpoena duces tecum  
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The type of law passed by legislative bodies is known as_________law.   show
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show interrogatory  
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show false claims act  
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The federal claims collection act requires medicare administrative contractors to:   show
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show 50 percent  
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show monitor Medicare rule compliance for payment of part B services and proper coding and billing practices  
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show healthcare integrity and protection data bank  
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show providing credit for prior health coverage  
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show office of inspector general  
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show mail and wire fraud  
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The first step a physician practice can take to identify areas in the practice that are vulnerable to fraud and abuse is to:   show
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An example of overpayment is:   show
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show overpayment is not reopened within 48 months after payment  
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Code combinations that cannot be reported on the same claim are called:   show
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The most controversial of the proposed unique identifiers in the administrative simplification provision of HIPAA is the:   show
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show computer tape  
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show security  
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What special handling is required to release medical information for a patient who is HIV-positive?   show
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Created by: kduvall20
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