EBK INTRODUCTION TO HEALTH CARE
5th Edition
ISBN: 9780357123126
Author: Mitchell
Publisher: YUZU
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Chapter 3, Problem 19RQ
Summary Introduction
To define:
The definition of fraud and the three examples of health care fraud.
Introduction:
Fraud exists everywhere, such as in health care, property handling, resource utilization, etc. It can be related to the money or any other important things.
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What are common types of medicare fraud? Provide examples of each.
Describe and discuss the key definitions of fraud and abuse in healthcare fraud?
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Chapter 3 Solutions
EBK INTRODUCTION TO HEALTH CARE
Ch. 3 - Prob. 1RQCh. 3 - How are ethics and laws related?Ch. 3 - How is the use of medical marijuana an example of...Ch. 3 - What are four current health care dilemmas?Ch. 3 - Prob. 5RQCh. 3 - Prob. 6RQCh. 3 - Prob. 7RQCh. 3 - How do each of the following present an ethical...Ch. 3 - What is the meaning of the following types of...Ch. 3 - Prob. 10RQ
Ch. 3 - Prob. 11RQCh. 3 - Prob. 12RQCh. 3 - Prob. 13RQCh. 3 - Prob. 14RQCh. 3 - What are the eight signs of child abuse?Ch. 3 - Prob. 16RQCh. 3 - What are the six forms of elder abuse?Ch. 3 - What is the purpose of the federal schedule of...Ch. 3 - Prob. 19RQCh. 3 - Prob. 20RQCh. 3 - What is the Health Insurance Portability and...Ch. 3 - Prob. 22RQCh. 3 - Prob. 23RQCh. 3 - Prob. 24RQCh. 3 - Prob. 25RQCh. 3 - Prob. 26RQCh. 3 - Prob. 27RQCh. 3 - Prob. 28RQCh. 3 - What are six ways that decisions regarding ethics...Ch. 3 - Prob. 1AECh. 3 - You are working as a licensed practical nurse in a...Ch. 3 - Prob. 1PSP
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- What are the provisions of the False Claims Act in healthcare reimbursements?arrow_forwardHow does the department of veterans affairs and Humana prevents fraud or how does their anti fraud policy has been a success?arrow_forwardWhat is the impact of the Anti-Kickback Statute on healthcare reimbursement and referralsarrow_forward
- What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?arrow_forwardWhat is healthcare fraud and abuse? To whom do we report it? Provide an example of one specialized practice that has the highest instance of healthcare fraud and abuse. How can it be prevented?arrow_forwardWhat is healthcare fraud and abuse? To whom do we report it?arrow_forward
- How does differentiating between these two types of errors (a slip and a mistake) help in redesigning systems of care to improve patient safety?arrow_forwardHow is the Anti-Kickback Statute different from the Physician Self-Referral Law?arrow_forwardWhat is the difference in the reimbursement cycle among long-term care facilities as compared to most other healthcare facilities?arrow_forward
- What is the primary goal of medication reconciliation in medical-surgical nursing? a) Discontinuing all medications to prevent adverse effects b) Ensuring accurate and up-to-date medication lists for patients c) Administering as many medications as possible to manage symptoms d) Documenting medication errors for legal purposesarrow_forwardWhat is the role of prevention in the current healthcare system? What are some benefits or the lack of success in this area?arrow_forwardWhat are the three facets of diagnosis that practitioners need to pay attention to? In what order should they be used?arrow_forward
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