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← Paraphrasing Tool | Ox Lab Questions Week X C Produce a map show X C Get Homework Help X | Downloads File C:/Users/mos

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Paraphrasing Tool Ox Lab Questions Week X C Produce A Map Show X C Get Homework Help X Downloads File C Users Mos 1
Paraphrasing Tool Ox Lab Questions Week X C Produce A Map Show X C Get Homework Help X Downloads File C Users Mos 1 (139.27 KiB) Viewed 9 times
Paraphrasing Tool Ox Lab Questions Week X C Produce A Map Show X C Get Homework Help X Downloads File C Users Mos 2
Paraphrasing Tool Ox Lab Questions Week X C Produce A Map Show X C Get Homework Help X Downloads File C Users Mos 2 (121.86 KiB) Viewed 9 times
1.1 Identify and discuss the various possiblehealth-care fraud schemes evident in the scenario. Motivate youranswer. Note: Structure your answer by discussing the modusoperandi of the schemes that you identified and then justifying whythe information in the scenario is applicable to the specificschemes that you identified.Refer to Annexure A on page 13 for anexcerpt of the dental practitioners’ guide for all dentalpractitioners contracted with RHMS. (30)marks
1.2 With reference to all the health-care fraud schemesidentified above, propose an appropriate medical complianceprogramme for RHMS to prevent the identified health-care fraudschemes from occurring again in the future. Note: You shouldincorporate the information in the scenario into your answer. Ifyou merely copy information from the study material, you willobtain zero marks for the entire question.
← Paraphrasing Tool | Ox Lab Questions Week X C Produce a map show X C Get Homework Help X | Downloads File C:/Users/moses.masunda/Downloads/AUE4863%20Assignment%202.pdf AUE4863 Assignment 2.pdf 0 e Tariff code 8101 8102 8180 8176 8190 ANNEXURE A TABLE 1: AN EXCERPT OF THE DENTAL PRACTITIONERS' GUIDE FOR ALL DENTAL PRACTIONERS CONTRACTED WITH RHMS Tariff code 8001 8840 Tariff code 8501 8803 8837 Tariff code 8231 8232 13/14 | |- 0545 Consultation-second opinion or advice MAXILLOFACIAL SURGEON: PRACTICE TYPE-MAXILLOFACIAL AND ORAL SURGERY (MFOS) CODE: 082 d 0 75% + PRACTICE TYPE: GENERAL DENTAL PRACTIONERS CODE: 074 Oral examination Description Comprehensive oral examination Re-examination-existing condition Periodontal screening Consultation-MFOS Description Treatment planning for orthognathic surgery - ALL ORTHODONTIST PRACTICE TYPE ORTHODONTICS CODE: 030 Description Consultation-orthodontist Consultation-orthodontist (subsequent, retention and post- treatment) Diagnosis and treatment planning-orthodontist X PRACTICE TYPE: PROSTHODONTIST CODE: 088 Description Complete centures - maxillary and mandibular | Complete centure -maxilary or mancibular Complete dentures-maxillary and mandibular (with major complications) Tariff amount R349,40 H495,70 R226,40 R311,50 R391,40 Tariff amount R414,80 AUC1863 Assignment X R2 139,80 Tariff amount R303,70 R146,50 R575,10 Tariff amount R7 680,00 R5 729,00 R7 230,00 Specialista are, however, encouraged to confine their practice to the specialty or related specialties in which they are registered. Specialists may charge fees for procedures or services that usually pertain to some other specialty, If such procedures or services are also recognised in their speciality and if the procedures or services are carried out only for their bona fide patients. Such fas shall not be higher than those charged by general practitioners for the same procedures or services (Health Council, Rule 1) G With reference to all X | + Q 15 C ☆ O ENG 8:41 AM US 2022/07/02 22)

← Paraphrasing Tool | Ox Lab Questions Week X C Produce a map show X File C:/Users/moses.masunda/Downloads/AUE4863%20Assignment%202.pdf AUE4863 Assignment 2.pdf 0 e ANNEXURE B TENDER NUMBER SME 18/20-1 SVE:19/20-2 SME 1820-3 SME:19/20-4 SME 18/20-5 Get Homework Help X | Downloads SME:19/20-6 SME 1820-7 SMF 1920-8 LIST OF TENDER CONTRACTS AWARDED FOR THE FINANCIAL YEAR 2019/2020: CIRCULAR 7 2019/2020 SMF-1920-9 SME:1920-10 TOTAL AMOUNT 14/14 | (0) DESCRIPTION Construction of recreational centre Construction of water gantry in Leso community Construction of Waterfall Community Library Construction of creation site in Vuyani Village Construction of community hall in Patse Village F Grinding and repaving road surface to restore it to original state Installation of high mast light Upgrading gravel in bituminous surface from Phumelela Section to Rite Village Building complex in 75% + | Mawain Village Street paving from Gundu Village to Simonyl Section APPOINTED CONTRACTOR/TENDERER Construct (Pty) Ltd Total Work (Pty) L Yetu (Ply) Ltd Abarth Construction (Pty) Ltd Tirani & Works Construction (Pty) L Star (Pty) Ltd Thuthani (Pty) Ltd X ABC (Pty) Ltd Light Construction (Pty) Ltd Vest (Pty) Ltd UNIGA 2122 AUC1863 Assignment X AUE4863/103/0/B/2022 AMOUNT R 25 000 000 75 000 000 15 000 000 185 000 000 34 000 000 115 000 000 65 000 000 190 000 000 20 000 000 76 000 000 800 000 000 G With reference to all X | + Q 15 40) C ☆ O ENG 8:42 AM US 2022/07/02 E 22)
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