which specialty has the highest healthcare fraud and abuse?

Answers

Answer 1

The specialty related to the loftiest healthcare fraud and abuse is pain operation, physical remedy, and internal health services.

Healthcare fraud and abuse can do in colorful specialties within the healthcare assiduity. That being said, some specialties have been historically associated with an advanced threat of fraud and abuse due to factors similar to billing complexity, advanced payment rates, or openings for fraudulent conditioning. The specialty connected to the issue of fraud and abuse are given below-

Pain Management This specialty involves the use of controlled substances, making it susceptible to conditioning like unhappy prescribing, overbilling, or diversion of drugs.Physical Therapy Physical remedy services are frequently billed grounded on the number of sessions or procedures performed, which can lead to billing fraud and gratuitous treatment.Mental Health Services Mental health billing can be complex, and fraudulent conditioning may include billing for services not handed, upcoding, or submitting claims for medically gratuitous services.Home Healthcare Home healthcare services involve furnishing care to cases at their places, which can make it grueling to cover and corroborate the services handed, leading to implicit fraud and abuse.Diagnostic Testing This includes specialties similar to radiology, laboratory testing, and cardiology, where fraudulent conditioning may involve gratuitous tests, unbundling of services, or fraudulent interpretation of results.

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Related Questions

Chris is happy with his current weight. He recently lost 40 pounds and is considered to be in the healthy weight range for his height and age.

Which options would help him to initially calculate his total daily energy expenditure?

(Select all that apply.)

determine SAP score

calculate TDEE

calculate RMR

count calories daily

Answers

Answer:

calculate tdee

Explanation:

Answers:

determine SAP score

calculate TDEE

calculate RMR

Explanation:

SAP, RMR and TDEE will help him calculate his total daily energy expenditure.

3. The ___________ senses give the body information about the outside environment.

external

internal

animal

recepter

Answers

Answer:

external senses give the body information about the outside environment.

So the answer is external.

Answer:

External

Explanation:

I did the test

Shaun is piloting a photo array line up procedure which uses six faces suggest one advantage and one disadvantage of this line up array compared to pozzulo et al.’s array

Answers

The one advantage of array is that the array has been used to holds multiple variables and the assignment operator can assign only a single variable at a time and disadvantage of array is that it may hang sometime.

What is the direction of loop iteration?

The loop iteration just moves on the equal to the size of the array. It has been seen like this because the array value moves into the another array in one by one. It means that the single value must move in the single time. So there will be moving processor from one array just to another array takes n times if the first array size is n.

Shaun is piloting a photo array line up procedure which uses six faces suggest one advantage and one disadvantage of this line up array compared to pozzulo.

Therefore, The one advantage of array is that the array has been used to holds multiple variables and the assignment operator can assign only a single variable at a time and disadvantage of array is that it may hang sometime.

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Explain one way you would determine which Tricare plan to bill for different patients.

Answers

Answer:

Tricare Plan is a specific kind of health maintenance organisation designed to help service members. For the provision of healthcare, it consists of military hospitals and clinics.

Explanation:

What is Tricare plan?

The health plans offered by TRICARE are comparable to HMO plans. Tricare plans often include the use of military clinics and hospitals for medical care as well as a significant decrease in out-of-pocket expenses for authorised care provided outside of the military clinics and hospitals by the TRICARE network providers.

The National Guard/Reserve soldiers and their families, retired service members and their families, and active duty service members. Depending on who is receiving care and where they live, Tricare plans may not be available.

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Which TRICARE plan is included into a patient's file depends on the patient's region of residence and Medicare eligibility.

TRICARE is the uniformed services health insurance programme for active duty service members (ADSMs), active duty family members (ADFMs), National Guard and Reserve soldiers and their family members, retirees and retiree family members, survivors, and certain former spouses throughout the globe.

Active duty family members, retired military personnel and their families, eligible survivors, eligible former spouses, and dependent unmarried children are all eligible for the Tricare plan.

To promote, safeguard, maintain, and restore health for individuals committed to their care, TRICARE combines the medical resources of the Military Health System—such as military hospitals and clinics—with a network of civilian health care experts, institutions, pharmacies, and suppliers.

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PLEASE ANSWER QUICKLY: Which changes occur in females during puberty? Acne clears up. The hips narrow. Underarm hair grows. Body hair thickens.

Answers

Breasts grow, periods start, growth spurts, sweating more and weight gain. I’m pretty sure there’s more. But that’s all I can think of

According to the excerpt, why is online and text communication problematic compared to in-person communication?

Answers

There is no excerpt above, but I would say that online and text communication is problematic because tone and true intentions CANNOT be perceived through a screen.

The metaparadigm of nursing consists of environment, health, nursing and person.
a. true
b. false

Answers

This statement is True that The metaparadigm of nursing consists of environment, health, nursing and person.

What do you mean by the metaparadigm of nursing?

A metaparadigm is “a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned.” In simple terms, it is all the features that go into a single framework — or everything that goes into being a nurse.

The metaparadigm of nursing offers a holistic approach to care. Taking into consideration the person, their environment, their health, and the practice of nursing itself, the metaparadigm considers everything that goes into caring for a patient. It provides a foundation for applying the essential skills nurses must possess. This comprehensive look at health and wellbeing allows Registered Nurses (RNs) to not only meet their patient’s physical needs, but their social and emotional needs as well.

Jacqueline Fawcett appropriated the word “metaparadigm” from philosophers Margaret Masterman and Thomas Kuhn, repurposing it for the field of nursing. She did this in an effort to organize the field via a philosophical affirmation, allowing the practice of nursing to be deemed as rigorously “scientific.”

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What are two functions of the skeletal system?

Answers

Answer:

The skeletal system works as a support structure for your body. It gives the body its shape, allows movement, makes blood cells, provides protection for organs and stores minerals. The skeletal system is also called the musculoskeletal system

Explanation:

The amount of time spent in therapy depends on the needs of the client and the ________.

Answers

Answer:

The amount of time spent in therapy depends on the needs of the client and the personal goals.

Explanation:

decreasing the angle between two bones by bending a limb at a joint is called___

Answers

flexion. Flexion is the movement at a joint that reduces the angle between two adjacent body segments.

When the angle between the bones narrows, the body flexes or bends. Flexion includes actions like raising the forearm at the elbow or bringing the hand closer to the forearm. During flexion, also known as bending, the angle between the two moving parts is reduced (bones or body parts). Extension, or straightening, on the other hand, entails a larger angle. Extension, which is the reverse of flexion, causes the angle between the bones of a joint to widen. An illustration of extension is straightening a limb after flexion. Hyperextension is the extension past the natural anatomical position.

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can someone cheer me up pls i feel trash and I know I shouldn't be posting this here but really I need help..

Answers

U can do this !!! Stay strong

Answer:

Ik exactly how you feel.

Explanation:

I feel like trash all the time. Honestly it is just human nature. But this is why we have each other. Do you have other friends? If you do you should reach out to them. I know it sounds terrifying it. But it is SO much better than keeping it inside yourself. Hahah! Me an, introvert saying this! But Ik. I've had a really rough year, and talking to my friends, family, or trusted adults has helped alot. Just talk to someone. People DO care for you. No matter what you think, you are loved and cared for. You've got this!

Write a long answer to each of the following questions:
Natural contraception is safe but unreliable. Why? Explain with illustrations of
common natural methods.​

Answers

Natural contraception does not protect against STIs such as chlamydia or HIV. You'll need to avoid sex, or use contraception such as condoms, during the time you might get pregnant, which some couples can find difficult.

Bile is produced in the __________ and stored in the __________ until it is needed.
(A)pancreas . . . gallbladder
X (B)stomach . . . small intestines
(C)gallbladder . . . pancreas
X (D) liver . . . gallbladder

Answers

Answer:

(D) liver . . . gallbladder

Explanation:

Soccer warm-up
Go to the Soccer warm-up section in the knowledge article. Do all the exercises in order, starting with footwork and ending with your scheduled
activity. before you begin. Be sure to complete the recommended number of sets and
repetitions for each exercise. Answer the questions below when you have finished your warm-up and scheduled activity.
Which parts were the easiest? Why?

Answers

The exercises in order, starting with footwork and ending with your scheduled activity which is the easiest and done during soccer warm up is forward jogging.

What is Exercise?

This is referred to as a form of physical activity which helps to keep the body fit and improves the overall well being and examples include running, weight lifting etc.

The exercise which was the easiest and done during soccer warm up by me is the forward jogging and it is because it has certain similarities with walking but with a little more speed and also doesn't involve any special technique in doing it.

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A loud noise or a sharp pain is an example of a ____

A loud noise or a sharp pain is an example of a ____

Answers

The answer is acute pain like it was a year ago as it is now

A loud noise or a sharp pain is an example of an acute pain. Acute pain is caused by the injury, surgery, or any medical procedure.

What is acute pain?

Acute pain is caused by any of these such as injury, surgery, illness, trauma or a painful medical procedure. It also serves as a warning of the disease or a threat to the body. It usually lasts for a short duration of time, and disappears when the underlying cause of pain has been treated or healed.

Acute pain starts suddenly in response to an injury, a cut, bruise, burn, or pulled muscle. Acute pain can also be caused by fever or infection due to some pathogen, labor contractions, and cramps during menstrual cycle.

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Your next task is to and make an acrostic poem
about what you have learned about the risk and
protective factors of using drugs. Use the letters of
the word "RISK and PROTECTIVE" as the first letter of each stanza

Answers

Raise this land of red eyes, A breeze dances, Rain undresses.

Raise this land of red eyes, I also am not the father and the boy who rises, Say, oh ye scornful ancestor resurfaces, Killed and ravines.

A breeze dances, Natron wear their footsteps with lint and buckles, Dame, though horrified Gypsies, Passions and misfortunes.

Rain undresses, O great modern noises, Tall and straight emerged from their crooked bones, Each wave by birds in the leaves.

Cartagena always waiting for the hungry pirates, Talk to your enemies, I admire men who have gone seventies, Vice haunts us even in the midst of our pleasures. Eat and drink comrades.

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Who does Social phobia commonly affect?
Please help me!!!

Answers


Social anxiety disorder usually starts during youth in people who are extremely shy. Social anxiety disorder is not uncommon; research suggests that about 7 percent of Americans are affected.

Rough handling of a patient with severe hypothermia may cause which of the following dysrhythmias?
a Ventricular fibrillation
b Sinus bradycardia
c Asystole
d Sinus tachycardia

Answers

Rough handling of a patient with severe hypothermia may cause A. Ventricular fibrillation

Hypothermia is a medical emergency that occurs when the body loses heat faster than it can produce it, resulting in a low body temperature. It can cause a number of serious complications, including cardiac dysrhythmias. Rough handling of a patient with severe hypothermia can trigger ventricular fibrillation, a potentially life-threatening cardiac arrhythmia in which the heart beats irregularly and can't effectively pump blood to the body. The risk of ventricular fibrillation is increased when the patient is moved suddenly or roughly, as it can cause a sudden increase in heart rate and cardiac workload. Therefore, it is important to handle patients with severe hypothermia gently and carefully to prevent triggering dangerous cardiac dysrhythmias.

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which statement about seasonal influenza vaccination policy is correct?

Answers

Answer:

Seasonal influenza program is a year-round campaign

Explanation:

Hope it helped ; )

Free point'sssssssssss

Answers

Answer:

thx

Explanation:

Q.2. Prepare a questionnaire (with 5 questions, 3 options for each) where you assume the following role: As the Public Relations Officer of ABC Medical College, you have noticed that there is a drop in the number of women candidates in medical science disciplines from 2016 to 2019. You are investigating the cause of this phenomenon. Your goal is to get ground-level information so that you can herp increase the number of women students in these disciplines. Your questionnaire, to be circulated among faculty members of ABC Medical College, should keep in mind the principles of questionnaire preparation and be audience-oriented.

Answers

As the Public Relations Officer of ABC Medical College, you have noticed that there is a drop in the number of women candidates in medical science disciplines from 2016 to 2019. You are investigating the cause of this phenomenon. Your goal is to get ground-level information so that you can help increase the number of women students in these disciplines. Hence, here is a questionnaire with 5 questions, 3 options for each:

Question 1:

What factors do you think have contributed to the drop in the number of women candidates in medical science disciplines?

Options:a)

Lack of proper education and guidanceb) Insufficient scholarship programs and financial assistancec) Women are not interested in medical science disciplines

Question 2:

What measures can be taken to encourage women to pursue medical science disciplines?

Options:a)

Implementing scholarship programs and other financial assistances for womenb) Organizing seminars, counseling sessions, and workshops for women to educate and guide themc) No measures are necessary as women are not interested in medical science disciplines

Question 3:

What role can the faculty members play in promoting medical science disciplines to women?

Options:a)

Encouraging women to pursue medical science disciplines by providing them with guidance and supportb) Organizing seminars, counseling sessions, and workshops for women to educate and guide themc) No role as women are not interested in medical science disciplines

Question 4:

Have you noticed any gender bias in the teaching methodologies and curriculum in medical science disciplines?

Options:a) Yesb)

No, there is no gender biasc) Can't say

Question 5:

How can gender bias be eliminated in the teaching methodologies and curriculum in medical science disciplines?

Options:a)

By implementing gender-neutral and inclusive teaching methodologies and curriculumb) By organizing workshops and seminars for faculty members to create awareness and educate them about gender issuesc) No gender bias exists in teaching methodologies and curriculum.

About Medical

Medical is the science and practice of diagnosing, treating and preventing disease. Medicine includes the various health care practices developed to maintain and restore health by preventing and treating disease.

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Compare and contrast extraneous variables with confounding variables. (psychology)

Answers

Extraneous variables and confounding variables are both concepts in psychology that can affect the results of research studies, but they differ in their nature and impact.

Extraneous variables refer to any variable other than the independent and dependent variables that can potentially influence the outcome of a study. These variables are typically unwanted and can introduce noise or error into the data. Researchers aim to control or eliminate extraneous variables through experimental design or statistical techniques.

On the other hand, confounding variables are specific types of extraneous variables that are related to both the independent variable and the outcome of the study. They can distort or confuse the relationship between the independent and dependent variables, leading to inaccurate or misleading conclusions. Unlike extraneous variables, confounding variables are directly tied to the variables of interest and need to be identified and controlled for to ensure the validity of the results.

In summary, extraneous variables are any additional factors that can impact a study, while confounding variables specifically interfere with the relationship between the independent and dependent variables. Controlling for confounding variables is crucial to establish causal relationships in research.

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The u. S. Public health service and the march of dimes recommend that all women of childbearing age should take a daily multivitamin and mineral supplement that contains.

Answers

The U. S. Public health service and the march of dimes recommend that all women of childbearing age should take folic acid.

What is Folic acid?

This is a vitamin which is also known as Folate and it helps boost blood levels in the body.

It also helps in the production of DNA and helps prevent serious birth defects which us why it was recommended.

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Plz help me and if u don’t know don’t answer. If ur right I’ll give brainliest

Plz help me and if u dont know dont answer. If ur right Ill give brainliest

Answers

Answer:A, fatty acid tail

Explanation:

Answer:

The answer would be A)fatty acid tail

Explanation:

Hope this is correct! (:

What are the recommended number of daily servings for each food group in the
Food Guide Pyramid? *

Answers

Explanation:

The Pyramid recommends eating 6 to 11 servings of grain products each day; several should be whole-grain servings. One serving is defined as 1 slice of bread, 1 small roll or muffin, 1/2 of a bagel or croissant, 1 ounce of ready-to-eat cereal, or 1/2 cup of cooked cereal, rice, or pasta. products daily.

why is short and medium rice popular in china and japan?

Answers

Answer:

rice is the staple food of China and Japan people like eating short rise as compared to basmati rice

why are postal workers not required to be vaccinated

Answers

Answer:

They are going to be required to get the vaccine soon.

How could Teresa Edwards accomplishment motivate other women in their lives?

Answers

Edwards's career has been ideally timed to take advantage of a surge in popularity for women's basketball. She was one of the first players named to the fledgling Atlanta Glory basketball team in the new women's American Basketball League, and thus she will help to establish professional women's basketball in America.

Answer:

Lo primero que debemos lograr en el alumno es su atención, el prestar atención podemos definirlo como una actividad humana

Explanation:

Actualmente los docentes se encuentran con un problemarecurrente en la enseñanza que se hace notable en estos últimos años, inclusive en la educación superior: mantener la atención del alumno. Sabemos que la atención de una persona a la que se le habla puede ser volátil según el tema del que hablemos, de la forma en que lo hacemos, el lenguaje que utilizamos, nuestro modo gestual, la posición física que adoptemos e incluso el momento en que queremos comunicar algo. A lo mencionado anteriormente se puede advertir además, la impresión que cada alumno pueda tener del docente con sólo verlo, la información que pueda tener de él, el interés por esa materia y por su propia formación. Esto se potencia cuando hablamos de un grupo y mucho más cuando se trata de un grupo de gente que se conoce y tiene relación entre sí. Desde este sentido también incide lo que el grupo piense sobre la materia o el docente ya que el grupo influencia al individuo, tal como el individuo influye al otro y por lo tanto al grupo. La atención es especialmente importante en el nivel superior, si tenemos en cuenta que “la enseñanza superior es la que presenta, como carácter típico, la mayor densidad de información entre todos los niveles del sistema (…)” (Camillioni, 1995). La cantidad y calidad en los contenidos que se brindan en el proceso de aprendizaje de los alumnos y las formas en que el docente enseña son condiciones para el procesamiento de ideas y producción de nuevos conocimientos.

Lo primero que debemos lograr en el alumno es su atención, el prestar atención podemos definirlo como una actividad humana, como señala Vigotsky.

A survey was conducted to evaluate how grief affects different factors in people’s lives. The graph shows the survey results. A graph titled How Much Did Grief Impact Your Life? (Scale From 1 to 10) shows the scale on the horizontal axis and different factors in people's lives on the vertical axis. Outlook for Future rated 7, Social Relationships rated 7, Spiritual Health rated 6. 5, Physical Health rated 5. 5, Economic Well Being rated 4. 5, and Mood rated 8. 5. Graph Key: 1 = Not at all; 10 = A tremendous amount What factor did grief affect the least? mood physical health economic well-being social relationships.

Answers

A survey was conducted to evaluate how grief affects different factors in people's lives. The graph titled "How Much Did Grief Impact Your Life? (Scale From 1 to 10)" represents the survey results.

Outlook for Future and Social Relationships were rated 7; Spiritual Health was rated 6.5; Physical Health was rated 5.5; Economic Well Being was rated 4.5; and Mood was rated 8.5.Among the different factors in people's lives, the factor that grief affects the least is Economic Well Being. This is because Economic Well Being was rated 4.5 on the scale, which is the lowest among all the factors.

Therefore, the impact of grief on Economic Well Being was less compared to the other factors. The survey results on how much grief affects different factors of people's lives can be summarized as follows:Outlook for Future and Social Relationships were rated 7.Spiritual Health was rated 6.5.Physical Health was rated 5.5.Economic Well Being was rated 4.5.Mood was rated 8.5.

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what is the primary treatment for a patient with chronic emphysema who is not severely hypoxic?

Answers

Supplemental oxygen therapy is the primary treatment for a patient with chronic emphysema who is not severely hypoxic.

Acute exacerbations of chronic obstructive pulmonary disease (COPD) are significant episodes in the history of this severe lung ailment. The associated health-care consumption and morbidity are significant, and many patients require supplemental oxygen or ventilatory support. If you have severe emphysema and low blood oxygen levels, utilizing oxygen at home and while exercising may provide some relief. The last two decades have seen a significant gain in our understanding of the best strategy to manage the respiratory failure that many patients experience during this high-risk phase. The reasoning and data underpinning oxygen therapy are then explored, along with further ventilatory support techniques.

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The nurse is assessing four patients. which patient does the nurse suspect to be at increased risk of pulmonary embolism because of immobility? The effort to establish realistic sales goals fo rasales forecan have the following implication for an organiaton:1. it minimizes temptation to behave unethically to meetsalesquotas2. it is only appropriate with salespeople in training who wrentsskilled3. establishing realistic sales goals is ontappramitewhenrevenue is not generated by diect sales4. there is no correlation between sales gansand stepmonebehavior mild intellectual disability is most common in which socioeconomic class? one explanation for why humans need rem and slow-wave sleep focuses on the possibility that they contribute to Who called Texas the Republic ofTexas, declaring independence fromMexico?A. American Settlers and the TejanosB. Sam HoustonC. Santa AnnaPlease help Im in a test He said," I don't like you" change in indirect speech The law of ________________________ states that charges are not created or destroyed. They are transferred. To make your speech clear and understandable, use words with which the audience will be. discuss the difference between the two kinds of interest groups--institutional and membership interests Q) Discuss two examples of ostracism, preferably from your own life. These could be experiences in which you excluded another person or in which you were excluded. If this has never happened to you (really?), you can use examples from your own experience.Explain how social exclusion was intended to threaten or had an impact on some of the fundamental needs described in the video for each example. Be specific; explain what was done and how it jeopardized each need (if you were involved, you can use your own thoughts and feelings when applicable). In your opinion why have the americano peoples beliefs about civil rights changed so much in the last 50 years Which was NOT a response to the September 11 terrorist attacks on the United States? 1.Iraq denounced the events and disassociated itself from al-Qaeda. 2.World leaders pledged support to the United States during its recovery. 3.Citizens all over the country came together to support each other and the president. 4. The president requested and received congressional authorization for the use of military force. Chester has less than $25 to spend at the county fair. The entrance fee is $5, and each ride costs $3. The number of rides, r, that Chester can go on is represented by the inequality 3r + 5 < 25. Select the most amount of rides Chester can go on without overspending Conjugate El/Ella/usted for Llegar For the current editions of the Wechsler intelligence tests and Stanford-Binet Intelligence Scales, the mean score for full-scale IQ is _____.A. 50B. 75C. 100D. 125 1-2: Translate into an algebraic expression.1. The product of a number, n, and -7. Is (x-4) a factor of f(x)=x^3- 2x^2 + 5x +1. use either the remainder theorem or the factor theorem to explain your reasoning a client has developed chronic hypoxia and has developed pulmonary hypertension (htn). the nurse recognizes that the most likely cause of pulmonary hypertension would be: You are the manager of the "New Products" division of a firm considering a group of investment projects for the upcoming fiscal year. The CEO is interested in maximizing profits and wants to pursue the project or set of projects that returns the highest possible expected profits to the firm. Three potential alternatives have been proposed, including the following estimated financial projections: Alpha Project Upfront Costs $60 million Expected Revenues $85 million Beta Project Upfront Costs $20 million Expected Revenues $16 million Gamma Project Upfront Costs $30 million Expected Revenues $60 million Which set of projects would you recommend if your firm could only spend $70 million in upfront costs on investments and if the investment in the Alpha project decreased the upfront costs required for each of the remaining projects by half? can yall answer this for me? not to long of a answerPlease