The Process by Which a Stimulus or Event Following a Particular

question 26

Multiple Choice

The process by which a stimulus or event following a particular behavior increases the probability that the behavior will happen again is called

• A)generalization.
• B)extinction.
• C)reinforcement.
• D)specialization.

Differentiate between fraud and abuse in the context of Medicare claims.

Identify and differentiate between various types of insurance plans.

Understand the procedures and responsibilities involved in processing insurance claims.

Know the content and structure of the CMS-1500 form and its significance in secondary billing.

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Definitions:

Descriptive Topic

A topic focused on describing characteristics, attributes, or elements of a subject without imposing interpretation or analyzing causes/effects.

Page Number

A numeric or alphanumeric identifier used in documents to sequence pages.

Typology

A classification system based on systematic organization of types, often used for comparing phenomena or defining categories.

Sociogram

A visual diagram that represents the relationships and social interactions within a group.