Is this fraud or abuse if the claim is then submitted? Why?

Q: Discuss the 4 components of Medicare. Where are these 4 components applicable and why is it…

A: There are 4 parts of Medicare:- Part A, B, C and D Part A:- In Patient/ Hospital Coverage Part B:-…

Q: Discuss the history of Medicare and Medicaid, focusing on the increasing cost of both programs. In…

A: The 1965 Social Security Amendments were signed into law by President Lyndon B. Johnson on July 30,…

Q: In 5 sentences, what is the relevance of Excel application in Medical records and data-driven…

A: The core component of digital medical and health documentation is health data management. It assists…

Q: Summarize the steps a claim must go through in order to be processed and payment received for…

A: A claim for health insurance is an application submitted by the policyholder to the health provider…

Q: significance of documentation in mortuary services of the hospital?

A: Introduction;-Mortuary is an imprtant integrally part of every hospitals as it deals with the…

Q: which one is not true about medicare part a? pays for enrolles hospital care monthly premium is…

A: Medicare is an insurance programme introduced by the Federal Government in order to provide…

Q: f federal workman compensation claim in nursing

A: Workplace injuries or trauma are mostly costly where an employee cannot work for some period of time…

Q: can you Prepare a neat and legible work flow process flow chart of medical record department of your…

A: Here we have to prepare an workflow chart of medical record department of a hospital and we have to…

Q: The Public Interest and Benefit Activities exception allows the covered entity to disclose…

A: Abuse,Neglect or Domestic violence. This option is correct because in case of abuse,neglect and…

Q: How is a pharmacy informatics specialist involved in pharmacy operations? Explain.

A: In the healthcare industry, the HCMS(Health care management system) is considered an effective…

Q: How does the law of agency make it possible for a patient to sue both the medical assistant and the…

A: Medical law is the branch of law that is concerned with the entitlement and responsibilities of the…

Q: Even though HIPAA does not directly address e-mail in its standards, both the privacy and security…

A: HIPAA is a Health Insurance Portability and Accountability Act.  It is a federal law that required…

Q: Which of these grants medical staff privileges to a physician in a hospital setting? The Center for…

A: In order to award privileges, the hospital will review a physician's credentials and then if the…

Q: What type of information/links to services might you need to provide to your client? Provide any…

A: To manage the health of the patient it is very much for the nurse and also health care personnel to…

Q: Eligible individuals voluntarily enroll in Part A Medicare.TrueFalse

A: Medicare can be defined as the federal government plan of the US which established for payment in…

Q: True or False The Freedom of Information Act exempts (does not allow) the release of personal…

A: Healthcare laws and policies are required in the daily normalization of functioning deeds for all…

Q: What are all the important aspects of a medical assistant's role in the insurance claim process?

A: One of the central operations of the medical office is the processing of insurance claims. A…

Q: What are the advantages and disadvantages of a living wills and statutory advance directives?

A: A living will, also called an “advance directive” or a “healthcare directive,” it is a kind of…

Q: What is predatory medical billing?  Why is this a concern?

A: Medical billing is the process that involves payment practice in the health care system. It involves…

Q: Medicare pays for acute or critical care A) Part A Part B Part C D) Part D

A: PART A

Q: What are some advantages and disadvantages of electronic health records

A: Health care delivery system It is the network of facilities with the goal of providing optimal…

Q: What major factors led to the inclusion of prescription drug coverage under Medicare? Is the…

A: Medicare:It is a federal health insurance program that covers people who are 65 or older.It also…

Q: In recent years, each years' Medicare tax receipts have been sufficient to cover that year's…

A: Medicare is a national government health insurance program that started in 1965 in the United States…

Q: Describe the four parts to Medicare and why they are important to healthcare organizations.

A: The corporations or firms that take care of the health-related aspects of the populations are the…

Q: Why is Cyber-security a challenge in the healthcare system today

A: The electronic health records, also called EHR, contains information regarding the medical histories…

Q: Which of the following is a set amount that the patient must pay out of pocket per plan year prior…

A: The employer hires the third party for administrative services such as claim, billing and he will…

Q: A. why are there different rate tables for Medicare, insurance companies, workers compensation,…

A: Hello. Since your question has multiple parts, we will solve first question for you. If you want…

Q: The federal Medicare program will only reimburse (pay) for services performed by health…

A: Rational basis standard of review: *A law affecting a constitutionally protected right must be…

Q: What are three important challeneges facing the healthcare system today

A: A health care system is the organization of people, resources and institutions that engaged to…

Q: hich step of medical billing process is the most impo

A: Medical billing is a payment practice within the US (United States) Health System. The phenomenon…

Q: When Medicare does not pay primary medical expenses, Medicare is then considered to be the: A MSP…

A: Medicare is the national  health insurance program in the united states .It provides health…

Q: List two groups of people who qualify for Medicare

A: Medicare is a central government healthcare program that is divided into four parts. Part A of…

Q: How can private patient information be kept private even among staff?

A: The importance of maintaining patient information confidentiality is as follows: To create and…

Q: Medicare ACOs and bundled payment programs/strategies rely on the use which of the following…

A: 4.Vertical Integration and Physician Alignment

Q: What is the difference between a wrongful life case and a wrongful birth case? How is the…

A: Here we have to describe about the difference between a wrongful life case and a wrongful birth case…

Q: List two groups of people who qualify for Medicare. Correct answer

A: We can say that Medicare is a central government healthcare program that is divided into four parts.…

Q: Medicaid verification

A: Medicaid is a kind of joint federal as well as state program along with the Children’s Health…

Q: Discuss the relationship between documentation and financial reimbursement for health care ?

A: The reimbursement for patient care is determined by the diagnosis-related groups (DRGs). A DRG is a…

Q: major purpose of Medicare is to:  A. provide health care services to people on Social Security. B.…

A: The answer is option d that is to make a basic health care package available to all Americans…

Q: What are some positive and some negative reasons for a provider to participate in Medicaid?

A: Medicaid is the nation's public health insurance program for people with low income. The Medicaid…

Q: Identified the services of long-term care covered by Medicare and Medicaid.

A: CMS is The Centers for Medicare & Medicaid Services is an agency within US that administer major…