CHC Exam – Definitions Correct Questions and Answers!

CHC Exam – Definitions Correct Questions and Answers! Anti-Kickback Law - ANSWER Prohibits the solicitation, receiving, offering, or paying of any remuneration directly or indirectly in cash or in kind in exchange. Audit - Baseline - ANSWER A systematic inspection of records, policies, and procedures with the goal to establish a set of benchmarks for comparison for future inspections. Audit - Concurrent - ANSWER An ongoing inspection of records, policies, and procedures at a given point in time in which identified potential problems are investigated as they arise Audit - Retrospective - ANSWER A comprehensive inspection of records, policies, and procedures done usually in anticipation of launching a compliance and ethics program. All potential problems are identified and then investigated. Balanced Budget Act of 1997 - ANSWER Legislation containing major reform of the Medicare and Medicaid programs. Especially in home health and patient transfers. Mandated permanent exclusion from participation in federally funded health care programs of those convicted of three health care related crimes (3 strikes you're out) Benchmarking - ANSWER The measurement of performance against "best practice" standards. Best Practices - ANSWER Generally recognized superior performance by organizations in operational and/or financial processes. Business Associate - ANSWER Person or organization that performs or assists in the performance of a function or activity involving the use or disclosure of identifiable health information on behalf of a convered entity or provides services such as legal, actuatial, accounting, consulting, data aggregation, management administration, accreditation or financial services to or for a covered entity. Caremark International Derivative Litigation - ANSWER The 1996 U.S. Civil settlement of Caremark INternational, Inc. in which an imposed corporate integrity agreement precluded Caremark form providing health care in certain forms for a period of five years. Also suggests that the failure of a corporate director to attempt in good faith to institute a compliance and ethics program in certain situations may be a breach of a director's fiduciary obligation.