In the Context of Billing Fraud,which Is Associated with Unbundling

question 11

Multiple Choice

In the context of billing fraud,which is associated with unbundling?

• A) Accepting payment for healthcare services never provided to patients.
• B) Billing third-party payers (instead of patients)for noncovered services.
• C) Referring patients to a facility in which the physician has a financial interest.
• D) Separately billing laboratory tests to increase reimbursement from payers.

Differentiate among financial distress phenomena: business failure, legal bankruptcy, technical insolvency, and accounting insolvency.

Identify and understand the sources of business and financial risk, and the potential for risk trade-offs.

Analyze the factors influencing the optimal capital structure of a firm.

Recognize the benefits and drawbacks of debt financing, including the impact on the cost of equity and shareholder value.

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Definitions:

Blepharitis

An inflammation of the eyelid edges, often causing redness, itching, and dandruff-like scales on the eyelashes.

Aphakia

The absence of the lens of the eye, often resulting in reduced vision or blindness, treatable with lenses or surgery.

Hemianopia

A vision disorder characterized by a loss of vision or blindness in half the visual field, usually resulting from damage to the brain or optic pathways.

Macula Lutea

A small, yellowish central area of the retina that is rich in cones and where visual acuity is highest.