MCQ
Healthcare claim irregularities MCQ - Practice Questions with Answers
Solve 1 Healthcare claim irregularities questions for RAS/RPSC preparation.
Practice questions
Q1Consider the following statements about the irregularities detected under RGHS: 1. Hospitals improperly showed admitted inpatients as outpatient patients to reduce their claims. 2. Some hospitals separately claimed services and procedures already included in a package to receive higher payments. Which of the statements given above is/are correct?
Explanation
Statement 1 is incorrect: the detected practice was to show outpatient patients as admitted inpatients in order to obtain payment, not the reverse. Statement 2 is correct: services and procedures included in a package were claimed separately to receive higher payments.
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