CCA Exam Prep – Compliance Questions & Answers 2023/2024
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Course
CCA
Institution
CCA
CCA Exam Prep – Compliance Questions & Answers 2023/2024
Performance counseling usually begins with which of the following?
a. Submitting an action plan of steps the employee will do to resolve the issue and improve performance
b. Job termination
c. Informal counseling or verbal warning
...
CCA Exam Prep – Compliance
Questions & Answers 2023/2024
Performance counseling usually begins with which of the following?
a. Submitting an action plan of steps the employee will do to resolve the issue and improve performance
b. Job termination
c. Informal counseling or verbal warning
d. Put the coder on unpaid leave of absence - ANSWER-c. Informal counseling or verbal warning
What is the incentive to improve the quality of clinical outcomes using the electronic health record that
could result in additional reimbursement or eligibility for grants or other subsidies to support further HIT
efforts?
a. Pay for performance and quality
b. Patient referrals
c. Payer of last resort
d. Performance evaluations - ANSWER-a. Pay for performance and quality
An effective compliance program should include some basic elements to comply with state and federal
laws. These include policies, procedures and standards of conduct; the identification of a compliance
officer and committee; education of staff; establishment of communication channels; performance of
internal monitoring; corrective action when a problem is identified; and ________:
a. Clinical documentation strategies
b. Penalties for non-compliance of standards
c. Improving the accuracy of health claims
d. External audits - ANSWER-b. Penalties for non-compliance of standards
Statements that define the performance expectations and structures or processes that must be in place
are ________.
a. Rules
, b. Policies
c. Guidelines
d. Standards - ANSWER-d. Standards
The Office of Inspector General's (OIG's) strategic plan includes four goals:
a. Reduce risk, prevent criminal conduct, enforce laws and maintain ethics in health care.
b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future innovations in
healthcare.
c. Prevent criminal conduct; promulgate quality and safety; educate medical staff; and oversee
disciplinary actions.
d. Promote quality and safety, education for patients and clinical staff and advance pharmaceuticals' best
use. - ANSWER-b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future
innovations in healthcare.
Which of the following is an example of a unique identifier for an individual heath record to ensure that
the information in the record is not misplaced, lost, or confused with information for another person
each time a patient visits a facility?
a. Account number
b. Health record number
c. Admission date
d. Discharge date - ANSWER-b. Health record number
The Medicare Modernization Act of 2003 (MMA) launched a Medicare payment and recovery
demonstration project that would later develop into recovery audit contractors (RACs) serving as a
means to ensure correct payments under Medicare. During the demonstration program, the contractors
were able to identify ________ of dollars in improper payments.
a. Hundreds
b. Thousands
c. Millions
d. Billions - ANSWER-d. Billions
The ________ mandated the development of standards for electronic medical records.
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