Matching
Match the key terms listed to the description below.Use each description only once.
Premises:
Self-referrals
Cartel-type frauds
Waivers
Headhunters
Upcoding
Cost-shifting
Unbundling
Retainers
Responses:
A procedure where one service is divided into many services and billed accordingly
Services are designated so that maximum fees can be charged
Patients paying directly for services such as calls, refills, and conferences that Medicare considers covered
The practice of doctor selection of specialists and services based on financial connections
Hospital room charges are reasonable but other charges are high
Upfront fees for services covered by Medicare supplemental policies
Patient referral firms
Health care fraud resulting from criminal activity
Correct Answer:
Premises:
Responses:
Self-referrals
Cartel-type frauds
Waivers
Headhunters
Upcoding
Cost-shifting
Unbundling
Retainers
Premises:
Self-referrals
Cartel-type frauds
Waivers
Headhunters
Upcoding
Cost-shifting
Unbundling
Retainers
Responses:
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