What is upcoding, why is it illegal, how can you avoid accidentally upcoding?

Answers

Answer 1

Answer:

What is upcoding? Why is it illegal?

Unethical providers may mislead Medicare into believing they delivered a more expensive service than they actually did, resulting in the provider getting more money from Medicare than they are entitled to. The federal False Claims Act ("FCA") prohibits this practice known as "upcoding."

How can you avoid accidentally upcoding?

Ensure that patient information is accurate and that data is properly aligned.

Avoid upcoding by using the most recent medical coding manual.

Avoid Billing Duplicately

Verify Insurance Benefits and Coverage in Advance Hire A Professional

Medical Biller Coronis Health can help you improve your medical billing and coding systems.

Explanation:

Answer 2

Unethical providers may mislead Medicare into believing they delivered a more expensive service than they actually did, resulting in the provider getting more money from Medicare than they are entitled to. The federal False Claims Act ("FCA") prohibits this practice known as "upcoding."

What is false claims act?

The False Claims Act (FCA), also called the "Lincoln Law", is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs.

It is the federal government's primary litigation tool in combating fraud against the government. The law includes a qui tam provision that allows people who are not affiliated with the government, called "relators" under the law, to file actions on behalf of the government.

This is informally called "whistleblowing", especially when the relator is employed by the organization accused in the suit. Persons filing actions under the Act stand to receive a portion (15–30%, depending on certain factors) of any recovered damages.

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Related Questions

what kind of exercise should you do during a warm-up?
a.anaerobic exercise
b.areobic exercise
c. flexibility training
d. weight lifting

Answers

It would have to be C because not flexibility training, you would end up uncomfortable
C. Flexibility training

It is important to include flexibility training in your warm up because it will improve your circulation, loosen up muscles, reducing chance of injury, reduce fatigue and lower the risk of a muscle cramping. It will prep your body for the work out afterwards.

Nina is spending the night at a friend’s house and is having trouble sleeping. Her friend offers Nina one of her parent’s prescription sleep medications.

Should Nina take the prescription sleep medication from her friend?

Answers

Answer:

No way!

Explanation:

Sometimes doctors will prescribe sleeping pills to such problems as this, but in this case, she is just a kid. Sleeping drugs/pills aren't made for children. There are no prescription drugs approved in the United States to treat child insomnia, meaning not having the ability to sleep.

Hope this Helps!

If you don't understand something or need more of an explanation, just let me know! :D

Answer:

B

Explanation:

what is Self-Abusive Anger

Answers

Answer:

Self-abuse is negative and often dangerous behavior done to yourself.

Answer:

self abuse anger, almost self explanatory, it's where you harm yourself out of your own anger basically

What is the chemical formula for a compound between Al and S? Al 2S 3 AlS Al 3S 2 Al 2S 2

Answers

AI2 S3 , you need the most common oxidation numbers for the two elements
AI: 3+
S: 2-,2+4+ and 6+
AI2 S3 is Aluminium Sulfide which you get from the reaction of the elements: SAI + 3S to get AI2 S3
hope this helped :)!

A technique used to help develop confidence and your abilities by practicing the event and your mind is

Answers

Answer:

mindfulness

Explanation:

grounding is a type of mindfulness that assists you with being in the moment and instead of going down the rabbit hole of flashbacks, smells, dissociation, PTSD, etc. you are able to focus on the moment, right now, and breathing.

You can actually begin to focus on the present moment and calmly deal with your feelings and thoughts. When they are racing and you feel overwhelmed, sit down, stop what you are doing, breathe, and just remind yourself of where you are, what you are doing, how you are doing it....

If you do not want to go to school for two more years, your best option is to go to a
Associates
Masters
Bachelor
Certificate

Answers

D. Certificate, every other option is 2+ more years of college minimum

Anyone wrote a womens history essay I need asap

Answers

Answer:

Powerful Women in the Ancient World

Explanation:

The ancient world was the beginning of new development for humankind. Art and written

documents began to emerge and humans were starting to leave a permanent mark on the Earth

as well. Not only did this period bring prosperity and good fortune for some, however, a darker

side included the mistreatment and discrimination of women. Women were looked down upon

by men and were viewed as fragile and weak and not worthy of the same rights that men had.

Women were only seen as a means to bring life into the world and provide relief for men. The

pieces of art that were selected reflect women who refused to bow down to this negative

interpretation of womankind. Pharaoh Hatshepsut, Queen Nefertiti, Queen Boudica, and Joan of

Arc have shown society how one person, one woman, can accomplish many achievements and

make a difference for herself and her people. These women, each in their own, individual

approach, stood firm and took a stance in the man’s world that they found themselves in. They

were brave, heroic, outspoken, and often reviled for what they stood for. Still, they managed to

leave a mark historically and in the art world. Their lives and stories allow the modern world a

glimpse into the struggles and hardships that accompany the desire for equality. These women

represented the beginning of feminism and its roots trace back to the ancient world.

Pharaoh Hatshepsut, one of only three female pharaohs, rose to power and claimed the

Egyptian throne, going against tradition and fighting for her right to be the ruler. Her people tried

to oppose her. The concept of a woman as a public leader while possessing the powers of a

king, with no man to hold her back, frightened the people. Hatshepsut knew she could not

garner the respect of her people as a woman so she chose to depict herself as a man. She did

not back down when faced with hatred and contempt from her people, choosing instead to rise

above the resentment and rule successfully for two decades.

Queen Nefertiti, although not a pharaoh of Egypt, had the respect of her husband, Akhenaten,

and was displayed as his equal in many sculpture reliefs. This is unusual because most women

of this era were depicted at 1/10th the size of the husbands' image, i.e. Rameses II. The healthy

relationship between husband and wife reflects the fact that she had self-awareness and

personal power that allowed her to build a balanced relationship with her husband, even though

it was atypical in the society that they lived in.

Queen Boudica of Iceni, a widowed woman after her husband died, led a rebellion against

Rome, attempting to retake her kingdom after the Romans raped and abused her daughters. No

longer would she remain seated as her people were overtaken and slaughtered by the Roman

soldiers. By herself, she led thousands of her people into battle against the Romans, showing

bravery and courage, proving that women are just as capable of being warriors as men are.

Although she was defeated in the end, her legacy remains and Boudica represented the

struggles women suffer through for equality and freedom from oppression.

Joan of Arc, a maiden girl from France, made it her mission to free France from the tyrannical

reign of the English and instill the rightful heir to the throne. Similar to Hatshepsut, she dressed

as a man to carry out her plans to take back France from the English, since women were not

respected or seen as warriors. Only a young woman, Joan of Arc symbolizes the will of the

French people and the courage it took to fight back and against English tyranny.

All four of the women above represent the remarkable effects of a person who decides to take a

stand against invaders, injustice, and abuse. Not only did they achieve their goals, but they also

inspired other women that it was possible to make a difference in a culture that is

overwhelmingly male-dominated. These women were leaders in their own right and time and

were role models for future generations of women who found themselves in similarly intolerable

positions. These women were symbols of the incredible progress and effectiveness one person

can make when they take a stand for what they believe in.

Answer: It wouldn't let me post the answer for some reason so I attached a pdf

I hope it helps

How does regular exercise help make us more alert and energetic

Answers

Explanation:

It gets the heart rate up and the blood flowing and releases endorphins which raises our energy level

Any exercise or physical activity that gets the heart rate up and the blood flowing and releases endorphins is going to raise your energy level. Good cardiovascular exercises will strengthen your heart and give you more stamina.

35. A baby is delivered at 29 weeks gestation. At 5 minutes after birth, the baby is breathing spontaneously while receiving CPAP (at a
pressure of 5 cm H20) and 30% oxygen. A pulse oximeter sensor on the baby's right hand is reading 95% and oxygen saturation is
increasing. What is the most appropriate next step?
Decrease the oxygen concentration.
Begin PPV.
Increase the oxygen concentration.
O Continue CPAP and 30% oxygen.

Answers

Decreasing the oxygen concentration

Option A is correct

What is the most appropriate next step?

A) Decreasing the oxygen concentration is the appropriate step for stabilizing the baby.

B. Begin PPV: Positive pressure ventilation (PPV) is administered  If the baby has a heart rate of < 100 bpm and has apnea

C) Increasing the oxygen concentration is irrelevant and as the goal here is to stabilize the baby's breathing.

D. Also with "continue CPAP and 30% oxygen" we experience an increase in oxygen saturation.

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What was the lowest number of injuries recorded in any month over 2010 and 2011? Lowest number of workplace injuries:

Answers

This is the answer and you welcome

Which muscles move and stabilize the shoulder blades?
O A. triceps
B. obliques
O C.rhomboid
D. hamstring

Answers

It’s c I took the test

Rhomboids are part of the muscles which move and stabilize the shoulder blades and is denoted as option C.

What is Rhomboid?

This muscle is formed from rhomboid major and minor and is located at the upper back region.

They and muscles such as trapezius are important in upper limb movement and also helps to stabilize the shoulder blades.

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How will knowing the healthcare providers allow you to properly code and bill common reproductive disorders

Answers

Answer:

well you see, when you know all about the health care provider, you will know whom to bill, and also any kind of additional information that one may need for billing.

To be able to do proper billing and coding of the common disorders in the reproductive system, it is vital to understand and know more about the providers of healthcare.

In health systems, there is is found to be a lot of complex system for paying for services.

Explanation:

The most important piece of ski equipment is _________.
A: Skis

B: Boots

Answers

Answer:

Skis are technically the most important because how are you going skiing without skis :/

Explanation:

Empathy is one of the best ways to build relationships. Imagine that your friend has just had a relationship that they thought had a great future but that ended rather abruptly. How could you use empathy to engage with this friend?

Answers

Answer:

It is important for me to be empathetic, especially when talking about my friends' relationships because I want them to feel like their feelings are valid and real no matter what the circumstances of why it did not work out. Sometimes, people don't realize how much others can really understand or empathize with what they're going through until they start sharing. Even if they do not have an answer as to why things went wrong, listening without judgment will help them know they aren't alone in feeling lost or hurt. If possible, I would also try to offer some insight into why the breakup occurred so they can begin to think more critically about the situation, which will hopefully help them see things from a different perspective.

Explanation:

My own original answer.

#15 Choose the correct code assignment for the following scenario: 25-year-old who is 8 weeks postpartum after delivering a healthy 8lb male infant is seen today for postpartum depression.

A. F32.2
B. F32.9
C. F53.0
D. P91.4

Answers

Answer:

F53.0

Explanation:

Mark the word postpartum after delivery of babyPregnancy related issue so F53 is suitableNo further problems mentioned so it remains 0

Option C is correct

im addicted to video game what do i do to keep doing and doing other stuff ?
break the cicle

Answers

Answer:

Start Tracking Your Gaming Time.

Set Limits for Yourself.

Start Choosing Games Wisely.

Let Go of Your “Hardcore Gamer” Cred.

Earn Gaming Time.

Start Watching Other People Play Games Instead.

Go on a Gaming Detox.

Figure Out What You're Escaping.

Explanation:

I've had the same issue and I followed this. I hope it helps!

164766466333359535177488

Answers

Answer:

B

Explanation:

A sacral ulcer is a skin injury that destroys, harms, and/or infects. It also causes blisters and back and spine damage. B matches with this information and would be expected to be seen.

as you make your suggestions; avoid things that would endanger her or the troupe!
8. The unit mentions that an important factor in zookeeping is to give animals their
space, as they are wild animals after all. How do you think zookeepers balance their
need for research and helping specific animals, like Holly with respecting Holly's need
for "wild space."
Lovel
cters
Default Page Style
English (USA)
467

Answers

Answer:

I would think that when holly is more calm and serene is when they try and get as much info as possible when the animals start getting cranky or violent they finish what they first started if they can and leave.

Why is depression called a cycle?

Answers

When your activity level decreases you may become less motivated and more lethargic when you stop doing the things you love you miss out experiencing positive experiences creating a cycle

A 32-year-old male presents to the emergency room with pain and limited movement of his left wrist after being injured in a non-traffic incident why driving a forklift at work. Assigned the correct external cause code for this injury

Answers

Answer:

V68.0XXA

Explanation:

Its a driver of heavy transport vehicle injured in noncollision transport accident in nontraffic accident, initial encounter.

These external cause codes are used to denote accidental and intentional injuries. The correct external cause code is W20.8.

In this scenario, an external cause code W20.8- contact with other specified machinery. This external code is used to denote injuries that are caused by machinery, except motor vehicles. It includes forklifts.

These are important as they identify the cause, place of occurrence, and activity at the time of the accident and inform the patient's status. It plays a role at the time of injury and treatment.

Therefore, an external cause code is used by the media, legislature, and insurance companies to denote them in a specific manner. The correct code for an injury by forklift is W20.8.

 

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#44 Choose the correct code assignment for the following scenario: Insomnia due to cocaine dependence.

A. G47.00, F14.29
B. G47.09
C. G47.01, F14.282
D. G47.09. F14.288

Answers

Answer:

Option C

Explanation:

We need ICD-10cm code

First part is of no use .

Insomnia denotes to F14 series.

Now cocaine independence is mentioned so it's 282 .

Option C is correct

#20 Choose the correct code assignment for the following scenario: 16-year-old male patient seen for
atrophy of his left orbit.

A. H05.311
B. H05.312
C. H05.313
D. H05.319

Answers

Answer:

H05.012

Explanation:

We need the ICD-10cm code

atropy word is used so it's H05 Now left orbit is mentioned so it's 312.

Option B is correct

In the given options below, What will be the deficiency of Vitamin C ?
1. BeriBeri
2. Scurvy
3. Xerophthalmia
4. Osteomalacia​

Answers

Answer:

Scurvy

Explanation:

Severe vitamin C deficiency causes scurvy. Scurvy in infants is rare because breast milk usually supplies enough vitamin C and infant formulas are fortified with the vitamin. Scurvy is rare in the United States but may occur in alcoholics and older people who are malnourished.

Hope it helps!!!!!!!!!Brainliest pls!!!!!!!!!

Which expressions represent a decrease of 12% on the value x?
Select all that apply.


x−0.12xx minus 0 point 1 2 x

1.12x1 point 1 2 x

0.88x0 point 8 8 x

x−12xx minus 12 x

x+12100xx plus 12 over 100 x

x+0.12xx plus 0 point 1 2 x

x−12100x

Answers

[tex]\large\underline{\mathbb{Answer}:}[/tex]

[tex]\red{ \rule{50pt}{1000000pt}}[/tex]

#53 Choose the correct code assignment for the following scenario: 46-year-old male seen today for impacted cerumen in both ears. A bilateral irrigation of the ears was completed to remove the cerumen impaction.

A. H61.23, 3E1B78Z
B. H61.23, 3E1B78Z, 3E1B78Z
C. H61.23, 3E1B38Z
D. H61.23, 3E1B38Z, 3E1B38Z

Answers

Answer:

H61.33,3E1B38Z

Explanation:

There are two scenarios so two ICD-10cm codes required

First one is impacted cerumen in ears so it clearly H61.23.

For next part it's mentioned that it has been cured easily so Smallest one is the code .

Its Option C

The correct code assignment for the following scenario is C. H61.23, 3E1B38Z.

What does affected earwax mean bilaterally?

Earwax (Se-ROO male) is affected when earwax (earwax) accumulates in the ear and clogs the ear canal. This can cause temporary deafness and ear pain.

Treatment. Earwax removal can be attempted by cleaning the ear canal with or without an earwax lysing agent. By cerminolytics only; or manually remove using curette, forceps, or aspiration. A systematic review and meta-analysis evaluated these treatment options. Earwax collisions are defined as the accumulation of earwax that causes or interferes with the evaluation of the ear canal, eardrum, or earwax system. You don't need a complete block.

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Which of these is true about peristalsis?

A
It is a type of muscle.

B
It takes place in the mouth.

C
Its force is stronger than gravity.

D
It only happens when you are upside-down

Answers

Answer:

look it up bc he answere is there

Explanation:


Louisa is aspiring to be a pharmacist. Her advisor suggested that she join the AMSA and HOSA. Why would the
advisor suggest that she join these organizations?
O AMSA and HOSA will help her focus on winning competitions.
O AMSA and HOSA will help her focus on her professional goals.
O) AMSA and HOSA will provide answers to test questions,
O AMSA and HOSA will connect her with people who have dissimilar goals.HELP 25 points

Answers

Answer:

Explanation:

B: AMSA & HOSA will help her focus on her professional goals.

#47 Choose the correct code assignment for the following scenario: 38-year-old with night blindness acquired a few years ago.

A. H53.62
B. H53.61
C. H53.60
D. H53.69

Answers

Answer:

H53.62

Explanation:

Let's check the situation

38-year-old with night blindness acquired a few years.

Night blindness => it's H53Few years ago and age is 38 so it's 62 .

Option A is correct

Mr. Swanson is a 72-year-old patient with alcoholism. He is seeing Dr. Pugh at the Clearview Wellness Clinic because he is experiencing nausea, indigestion, and weakness. When the medical assistant records Mr. Swanson's weight, she notices that he has lost 25 pounds since his last visit with Dr. Pugh. The patient also tells
the medical assistant that he vomited blood yesterday.
Based on Mr. Swanson's symptoms and personal history, you would suspect ______ to be the physician's diagnosis.

A. hepatitis A
B. cirrhosis
C. HIV
D. jaundice

Answers

Answer:

cirrhosis

Explanation:

Nausea and indigestion directly indicating for liver damage .Then it can be hepatitis A or cirrhosis.But in hepatitis A vomitting blood is not a symptom so cirrhosis is the disease.

Option B is correct

Martha Jayasekers is a 25 year old young woman with cerebral palsy, Who lives in her own flat. She uses a wheelchair and needs support with many activities of daily living. Her support needs include getting out of bed in the morning, washing, dressing and getting ready for the day and support with getting into bed in the evening. Martha Jayasekera enjoys going out with friends and working part-time, as a counsellor for young adults with physical disabilities in a local community support centre. The home care organisation who delivers her services are requested to come and support her to go to bed at 10pm but the carers frequently arrives at 7pm to perform this service and have continued to do this despite Martha's complaints. When asked why this happens the care service says a-lot of the staff do not wish to work such late hours and feel unsafe in the area around Martha's flat. Read through this case study and answer the question.

Answers

it is necessary for the employees to put Martha Jayasekera to bed at the established time because those who have Cerebral Palsy (CP) are at greater risk of developing sleep disorders (SD).

Cerebral Palsy and sleep disorders

Recent studies report that children with Cerebral Palsy (CP) are at greater risk of developing sleep disorders (SD), predominantly

Obstructive sleep apneaDifficulty in initiating and Maintaining sleep and sleep-disordered breathing.

With this information, we can conclude that it is necessary for employees to put Martha Jayasekera to bed at the established time, as those who have Cerebral Palsy (CP) are at greater risk of developing sleep disorders (SD).

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Federal, state, and local governments face the problem of scarcity every day. Which of the following newspaper headlines illustrates a government facing the problem of scarcity?A.Concert Tickets in High DemandB.Mild Weather Expected to Increase Area TourismC.Southeast Cities Battle Over Water Usage Rights on the Dogwood RiverD.Calling All Potential NursesGrowing Hospital Industry WANTS YOU! Jaden says that two triangles are congruent if their interior angles are congruent. Is Jaden correct, and why?Yes. Congruent triangles have congruent interior angles.Yes. If the angles of two triangles are congruent, then the triangles are similar. No. Congruent triangles should also have corresponding congruent side lengths. Help help history help help help what is the range of 0,1,2,3,4,5,6,9 4 easy biology questions !! please helppp!!! **attachments providedive reposted this so many times i just really need help for this pleaseeee write a rational number in fraction form that is equivalent to 2.5 (repeating) Can someone help me please because I need it in your own words and no copying!!!!!!Literary analysis essay, explain how each author develops the common theme. Compare and contrast how the authors develop this theme by referencing specific literary devices and techniques in your response."Response to Executive Order 9066""Mericans" PLEASE HELP with the Second question!What are the three consequences the author suggests would occur if women were granted the right to vote? 1. Quindlen, Lincoln and King all allude to the same line in The Declaration of Independence. That line is:. Single choice. (4 Points)"E pluribus unum""A house divided against itself cannot stand""All men are created equal""Four score and seven years ago" In a particular country, the coins come in the denominations 1, 15 and 50 schillings. Whilst visiting this country, Peter bought a book for his wife, Rachel, paying with several (more than 2) coins. He paid with the minimum number of coins needed to make that amount.His change contained one more coin than the handful of coins with which he paid, but again it was the minimum number of coins needed to make that amount.What are the eight lowest possible prices for the book?What is the lowest price of the book where the coins Peter pays with is a sensible set of coins to have handed over? If you add 1.25 to the difference of 8.55 and 2.12, what will be the result? Which line from a poem you read is the strongest example of a rhythmic line of poetry?1 from "Puerto Rico": I long for not places, not faces, but traces of maybe my home2 from "Baseball": He's gonna drop it! He / don't know how to catch3 from "Mending Wall": We keep the wall between us as we go4 from "How I Discovered Poetry": she gave me a poem she'd chosen especially for me M is the midpoint of QR. N is the midpoint of PR. Work out PM and QN in terms of a and b {3x + y = 5{5x + 2y = 9Solve using a matrix 69 POINTS!!Proteins are made up of ______________ which help the body break down food to make energy.A. amino acidsB. sugarsC. insulinD. hormones What is the sum of the geometric series, rounded to the nearest whole number? 16 E n-1 6(1/4)^n A=2, B=3, c=4 d=6 What's the correct answer please Of the following disturbances, which can only be categorized as extreme (i.e., could not be considered small or mediumin scale)? (1 point)O hurricane flooding in several cities in TexasO wildfire across several counties in CaliforniaO volcanic eruption in the middle of the oceanO rapid glacial retreat due to climate change PLEASE I NEED HELP, PLEASE ANSWER THIS AS SOON AS POSSIBLE!!!!!Adult characters in "excerpt from Under the persimmon Tree" and "excerpt from Minku: ashes in the pathway" are an important part of these stories. How do these adult characters contribute to plot of each story? What are the differences in the ways the adult characters contribute to the plots? Use details from both stories to support your response if 9 is added to a number x the result is greater than 17. Find the range of values of x describe the ingressive initiators in glottalic ingressive