HomeworkLib
Question

In the healthcare context, _____?_____ is defined as using practices that are inconsistent with accepted medical...

In the healthcare context, _____?_____ is defined as using practices that are inconsistent with accepted medical practice and directly or indirectly result in unnecessary costs to the Medicare program; whereas _____?_____ is defined as knowingly making false statements or representations of material facts to obtain a benefit or payment for which no entitlement would otherwise exist.

a. fraud; abuse

b. abuse; fraud

science   nursing   
0 0
Add a comment Improve this question Transcribed image text
Next > < Previous
Sort answers by oldest

Homework Answers

Answer #1

Answer : (b) abuse; fraud

Explanation:

In healthcare context, fraud means a dishonest person who submits intentionally or making someone else to submit the information which is fake for getting payable benefits from health care.

Eg:switching of the prescription drug; Duplicate the payments-bills.

In healthcare context, abuse means it's a very inconsistent medical practice or business that result in cost for the medical program which is unnecessary; or doing things which aren't medically necessary ; or not meeting the perfect standards of health care.

Eg: unnecessary treatment billings

0 0
Add a comment
Know the answer?
Add Answer to:
In the healthcare context, _____?_____ is defined as using practices that are inconsistent with accepted medical...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Log In

Sign Up

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions

  • I can't edit the questions that you told me to edit this is the rest of...

    I can't edit the questions that you told me to edit this is the rest of the information to the questions. I post this question more than 5 times I really need help with this question. The potential issues are based on the most recent claims audit report. Fraud and abuse are similar, but defined by different intentions. Fraud is the intentional deception or misrepresentation of information by an individual or organization. Abuse involves actions that are inconsistent with accepted,...

  • CVS Caremark Acquisition of Longs Drugstores CVS Caremark used an acquisition technique that enabled it to...

    CVS Caremark Acquisition of Longs Drugstores CVS Caremark used an acquisition technique that enabled it to manage earnings in a blatantly fraudulent way. The acquisition of Longs Drugstores by CVS on October 20, 2008, illustrates what can happen when experts allow client management to make the call on how to account for a transaction. CVS called the shots and the firm that conducted the valuation of assets of Longs went along with unsubstantiated reductions in asset values even though its...

  • 1. Which of the following is PROBABLY a case of medical malpractice? I. A doctor neither...

    1. Which of the following is PROBABLY a case of medical malpractice? I. A doctor neither monitors nor diagnoses cerebral bleeding in a patient with a head injury, resulting in the patient's death. II. A doctor does not examine a person with an eye injury, resulting in vision loss. II. An incorrect diagnosis of cancer on a biopsy (pathology) inspection, leading to unnecessary surgery. A. III only B. I only C. II only D. I, II, III 2. Margaret was...

  • Congn UlIHISsion 074 Cong'c es that arise in research on research to provide guidance on the...

    Congn UlIHISsion 074 Cong'c es that arise in research on research to provide guidance on the ethical on human subjects. The result of the commission's work is this report, hics and elucidates which lays out a general approach to thinking about research tes the three most relevant moral principles-respect for three beneficence, and justice. chical Principles and Guidelines for Res h Involving Human Subjects partly because both often occur together (as in re- search designed to evaluate a therapy) and...

  • Case Study A 32 year old Arab woman is admitted to the hospital with complaints of...

    Case Study A 32 year old Arab woman is admitted to the hospital with complaints of abdominal pain. She is accompanied by her husband. They have a three-year-old girl at home. The husband is the primary decision maker in the family. The physician on call is male and he has expressed concern that surgery might be needed. 1. How can you provide culturally competent care to this family (Name at least 3 items)? 2. What other information do you need...

  • CASE 20 Enron: Not Accounting for the Future* INTRODUCTION Once upon a time, there was a...

    CASE 20 Enron: Not Accounting for the Future* INTRODUCTION Once upon a time, there was a gleaming office tower in Houston, Texas. In front of that gleaming tower was a giant "E" slowly revolving, flashing in the hot Texas sun. But in 2001, the Enron Corporation, which once ranked among the top Fortune 500 companies, would collapse under a mountain of debt that had been concealed through a complex scheme of off-balance-sheet partnerships. Forced to declare bankruptcy, the energy firm...

  • Case: Enron: Questionable Accounting Leads to CollapseIntroductionOnce upon a time, there was a gleaming...

    Case: Enron: Questionable Accounting Leads to CollapseIntroductionOnce upon a time, there was a gleaming office tower in Houston, Texas. In front of that gleaming tower was a giant “E,” slowly revolving, flashing in the hot Texas sun. But in 2001, the Enron Corporation, which once ranked among the top Fortune 500 companies, would collapse under a mountain of debt that had been concealed through a complex scheme of off-balance-sheet partnerships. Forced to declare bankruptcy, the energy firm laid off 4,000...

  • 10. The Beck & Watson article is a Group of answer choices quantitative study qualitative study...

    10. The Beck & Watson article is a Group of answer choices quantitative study qualitative study 11. Beck & Watson examined participants' experiences and perceptions using what type of research design? Group of answer choices particpant obersvation phenomenology 12. Select the participants in the Beck & Watson study Group of answer choices Caucasian women with 2-4 children Caucasian pregnant women 13. In the Beck & Watson study, data was collected via a(n) Group of answer choices internet study focus group...

  • 14. Select the number of participants in the Beck & Watson study Group of answer choices...

    14. Select the number of participants in the Beck & Watson study Group of answer choices 8 13 22 35 15. Beck & Watson determined their final sample size via Group of answer choices coding saturation triangulation ethnography 16.Through their study, Beck & Watson determined Group of answer choices after a traumatic birth, subsequent births have no troubling effects after a traumatic birth, subsequent births brought fear, terror, anxiety, and dread Subsequent Childbirth After a Previous Traumatic Birth Beck, Cheryl...

  • Chapter overview 1. Reasons for international trade Resources reasons Economic reasons Other reasons 2. Difference between...

    Chapter overview 1. Reasons for international trade Resources reasons Economic reasons Other reasons 2. Difference between international trade and domestic trade More complex context More difficult and risky Higher management skills required 3. Basic concept s relating to international trade Visible trade & invisible trade Favorable trade & unfavorable trade General trade system & special trade system Volume of international trade & quantum of international trade Commodity composition of international trade Geographical composition of international trade Degree / ratio of...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT