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HCA Certification Training Exam 2024 Questions & Correct Answers With 100% Guarantee Pass ( ) Verified By Experts
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HCA Certification Training Exam 2024 Questions & Correct Answers With 100% Guarantee Pass ( ) Verified By Experts

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  • September 12, 2024
  • 83
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • HCA
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HCA Certification Training.pdf file:///C:/Users/HP/Desktop/New%20fo/HCA%20Certification%20Tr




HCA CERTIFICATION TRAINING


1. True or False


The ACA requires that all providers adopt a compliance plan as a condition of enrollment

with Medicare, Medicaid, and Children's Health Insurance Program (CHIP).

Answer True




2. According to HHS-OIG - what are three important reasons for proper docu- mentation

in Compliance?


1. Protect our

2. Protect your

3. Protect the

Answer 1.Protect our programs

2. Protect your patients

3. Protect the Provider







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3. At which level of the Medicare Part A or Part B appeals process is the appeal decision by

the Office of Medicare Hearings and Appeals (OMHA)?


a. first level of appeal

b. second level of appeal

c. third level of appeal

d. fourth level of appeal

Answer c. third level of appeal



4. What should CCO be able to do? (What skills should this person have?) Choose all

that apply


a. Leadership skills.

b. Oversee the coding department.

c. Skills to design and implement a compliance program.

d. Be able to anticipate new risk areas.

e. Practical experience with documenting medical necessity.

Answer a. Leadership skills, c. Skills to design and implement a compliance program, and d.

Be able to anticipate new risk areas.





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5. What is the appeals process is the appeal decision by the Office of Medicare Hearings and

Appeals (OMHA)?


Frist level -

Second level -

Third appeal -

Fourth appeal -

Fifth appeal -

Answer Frist level - redetermination by Medicare contractor









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Second level - reconsideration by Independent contractor Third

appeal - Administrative Law Judge (ALJ) hearing Fourth appeal -

review by Medicare Appeals Council Fifth appeal - review in

Federal District Court



6. Which of the following is an absolute necessity in order to have a successful Compliance

Program?


a. continuous training and improvements

b. effective reporting path

c. non-retaliation for whistleblowers

d. reliable and equal discipline

Answer c. non-retaliation for whistleblowers



7. A Compliance Program with well written policies and procedures

a. can be successful if consistently reviewed and maintained

b. cannot be effective due to the sheer volume presented

c. will be effective if read by management






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