« previous next »

Author Question: An employer who misrepresents the amount of payroll or classification of employees in order to ... (Read 28 times)

Zoey63294

  • Hero Member
  • *****
  • Posts: 539
on: Jun 27, 2018
An employer who misrepresents the amount of payroll or classification of employees in order to reduce workers' compensation costs commits:
 
  premium abuse.
 
  premium fraud.
 
  benefit abuse.
 
  benefit fraud.

Question 2

The prospective approval of health care based solely on medical necessity is called:
 
  preapproval.
 
  prior approval.
 
  preauthorization.
 
  precertification.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


Amiracle

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: premium fraud.

Answer to Question 2

Answer: preauthorization.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Manager's Responsibilities to Employee and Physician-Employer Manager's Responsibilities to Employee and Physician-Employer
Most drugs exhibit first-order elimination, in which the rate of drug elimination is equivalent to ... Most drugs exhibit first-order elimination, in which the rate of drug elimination is equivalent to ...
If drug elimination mechanisms become saturated, a drug may exhibit zero-order elimination. If drug elimination mechanisms become saturated, a drug may exhibit zero-order elimination.
Classification of Intravenous Anesthetics Used for Moderate Sedation/Analgesia Classification of Intravenous Anesthetics Used for Moderate Sedation/Analgesia
Light beer has about the same amount of alcohol as regular beer Light beer has about the same amount of alcohol as regular beer
Here, in alphabetical order, are 20 foods and 4 cultures. Here, in alphabetical order, are 20 foods and 4 cultures.
Video: Mutations and translation

For a complete list of videos, visit our video library