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CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+
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CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+
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CPCO Test Prep | 36 Questions with 100% CorrectAnswers | Latest Update 2024 | Rated A+
How many components are required by the OIG to have an effective Compliance Program? -
✔✔7
What will show a third party's good faith toward remediation? - ✔✔Compliance Program
What is the Federal agency that provides compliance program guidance to providers
and covered entities? - ✔✔Office of Inspector General
A clinical laboratory gets all of their Medicare patients to sign a blank ABN in case Medicare
does not pay for a service. This is part of the clinic's written policy, therefore is in compliance
Y/N - ✔✔No, laboratory may never ask a patient to sign a blank ABN
Can the government take back monies from a nursing facility for failure of a patient's care?
- ✔✔Yes, there is a direct link to quality of care and billing for services.
Clinical Laboratories should charge physicians a price for ordered tests at ____________ -
✔✔Fair Market Value
Every third party health care company should designate someone to serve as the focal point
for compliance activities. This position is called a ___________. - ✔✔Compliance Coordinator.
What can result in imprisonment and penalties for providers and covered entities? -
✔✔Medical fraud
,What two laws relate primarily to the relationships between referral sources, such as physicians
and hospitals? - ✔✔Anti-kickback and Stark Laws.
If physician recruitment arrangements are not properly structured, it can result in
________________ - ✔✔EMTALA violations
Penalties under the FCA include how much - ✔✔Treble damages, plus a penalty of $5500
to $11,000 for each false claim filed.
What should you do when you find out one of your employees has been excluded from
government programs? - ✔✔Suspend the employee, request documentation, and
investigate the matter.
Some joint ventures may violate the Medicare and Medicaid ______________. - ✔✔Anti-
kickback statute
The Office of Civil Rights (OCR) has enforcement power for violations occurring as a result of
willful neglect. OCR can now impose civil monetary penalties of up to how much per HIPAA
privacy regulations violation. - ✔✔$50,000
Physicians sometimes own other health-related businesses, such as physical therapy facilities,
CME or home health companies, diagnostic imaging centers, or laboratories. Because these
businesses provide designated health services, what may be triggered? - ✔✔Stark
Which law increases the severity of penalties for violations involving organized crime?
- ✔✔RICO Act
Which law provides for a civil monetary penalty (up to $15,000 per service) and exclusion from
government programs in any case where a person submits an improper claim, which was
know to have been, or should have been know to have been, provided through a prohibited
referral, and has not refunded the payment? - ✔✔Stark
,Which of these responsibilities is not one of a compliance officer? - ✔✔Create all policies
and procedures
What are key responsibilities of a compliance officer? - ✔✔Ensure internal controls are
capable of preventing and detecting significant instances or patterns of illegal, unethical or
improper conduct.
Monitor the performance of the practice's compliance program on an ongoing basis and
take steps to improve effectiveness.
Identify and assess areas of compliance risk.
What year did HITECH Act get implemented? - ✔✔2009
What policy is important in dealing with employee concerns? - ✔✔Non-Retaliation policy
When can a covered entity disclose PHI without a patient's consent? - ✔✔When providing
in cases of suspected abuse.
What covered entity as the most HIPAA breaches? - ✔✔Business Associates
How soon are practices or medical organizations required to process record requests? -
✔✔Within 30 days
What does HITECH stand for? - ✔✔Health Information Technology for Economic and
Clinical Health
What safeguard is defined as measures to protect electronic systems? - ✔✔Physical safeguards
, What does the term "Disclosure" mean? - ✔✔The release or transfer of information to
an outside entity
Alerts for Physician's office labs from Medicare on expired certificate will cause your
Medicare carrier to - ✔✔Deny claims
If a person presents to the emergency department and collapses outside the ER doors, is
EMTLA evoked? - ✔✔Yes, the 250 yard zone applies in this case.
CLIA is funded by whom? - ✔✔Users
A person having an asthma attach presented to the physician office on the hospital campus.
The office did not have a provider in the office and the patient had to go to the Emergency
department around the corner for treatment. Is the physician office in violation of EMTALA? -
✔✔No, EMTALA does not include physician practices.
Requirements for transferring an unstable patient include all but ____________ - ✔✔making
sure the patient has either Medicare or Medicaid
Under EMTALA, the following requirements must be met when transferring an
unstable patient: - ✔✔Consent of receiving hospital
Patient's consent must be documented
Physician must attest the medical benefits outweigh the risk of the transfer in writing
To enroll in the CLIA program, laboratories must first register by completing an application,
pay fees, be surveyed, and if applicable become what? - ✔✔Certified
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