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    you are performing a regular inventory of the controlled substances in the pharmacy. you discover a minor inventory discrepancy. what should you do?

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    Ahip fraud waste & abuse Flashcards

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    Ahip fraud waste & abuse

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    Which of the following requires intent to obtain payment and the knowledge that the actions are wrong?

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    Fraud

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    Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)?

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    Deportation

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    1/6 Created by ashleighdenise08

    Terms in this set (6)

    Which of the following requires intent to obtain payment and the knowledge that the actions are wrong?

    Fraud

    Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)?

    Deportation

    A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 160. You review the prescription and have concerns about the possible forgery. What is your next step?

    Call the prescriber to verify the quantity

    Your job is to submit risk diagnosis to the centers for Medicare & medicaid services (cms) for the purpose of payment. As part of this job you verify, through a certain process, that the data is accurate. Your immediate supervisor tells you to ignore the sponsors process and to adjust/add risk diagnosis codes for certain individuals. What should you do?

    Report the incident to the compliance department (via compliance hotline or other mechanism)

    You are in charge of payment of claims submitted by providers. You notice a certain diagnostic provider ("doe diagnostics") requested a substantial payment for a large number of members. Many of these claims are for certain procedure. You review the same type of procedure for other diagnostic providers and realize that doe diagnostics' claim far exceed any other provider that you reviewed. What should you do?

    Consult with your immediate supervisor for the next steps or contact the compliance department (via compliance hotline, special investigation unit (siu), or other mechanism)

    You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do?

    Follow your pharmacys procedures

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    Verified questions

    QUESTION

    Rentz Corporation is investigating the optimal level of current assets for the coming year. Management expects sales to increase to approximately $2 million as a result of an asset expansion presently being undertaken. Fixed assets total$1 million, and the firm plans to maintain a 60% debt-to-assets ratio. Rentz’s interest rate is currently 8% on both short- and long-term debt (which the firm uses in its permanent structure). Three alternatives regarding the projected current assets level are under consideration: (1) a restricted policy where current assets would be only 45% of projected sales, (2) a moderate policy where current assets would be 50% of sales, and (3) a relaxed policy where current assets would be 60% of sales. Earnings before interest and taxes should be 12% of total sales, and the federal-plus-state tax rate is 40%. a. What is the expected return on equity under each current assets level? b. In this problem, we assume that expected sales are independent of the current assets investment policy. Is this a valid assumption? Why or why not? c. How would the firm’s risk be affected by the different policies?

    Verified answer QUESTION

    Commonwealth Construction (CC) needs $3 million of assets to get started, and it expects to have a basic earning power ratio of 35%. CC will own no securities, so all of its income will be operating income. If it so chooses, CC can finance up to 30% of its assets with debt,which will have an 8% interest rate. If it chooses to use debt, the firm will finance using only debt and common equity, so no preferred stock will be used.Assuming a 40% tax rate on all taxable income,what is the difference between CC’s expected ROE if it finances these assets with 30% debt versus its expected ROE if it finances these assets entirely with common stock?

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