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AAHAM - CCT EXAM QUESTIONS AND 100% CORRECT ANSWERS
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AAHAM - CCT EXAM QUESTIONS AND 100% CORRECT ANSWERSAABB - Answer American Association of Blood Banks; one of six CMS- approved
accreditation organizations
Abuse - Answer Improperly, and often unknowingly, violating regulations
ALJ hearing - Answer The third level of Medicare appeal; the amount in controversy
threshold for 2012 is $130
American Association of Blood Banks - Answer AABB; one of six CMS - approved
accreditation organizations.
American Osteopathic Association - Answer AOA; one of six CMS - approved
accreditation organizations
American Society of Histocompatibility and Immunogenetics - Answer ASHI; one of six
CMS - approved accreditation organizations
Anti-Kickback Statute - Answer The Act that makes it a criminal offense to knowingly
and willfully offer, pay, solicit, or receive any remuneration for referrals of items or
services reimbursable by a federal healthcare program
AOA - Answer American Osteopathic Association; one of six CMS - approved
accreditation organizations
Appeals Council Review - A response The fourth level of appeal; may be filed if the
provider disagrees with the decision of the Administrative Law Judge
,ASCA - A response Administrative Simplification Compliance Act
ASHI - A response American Society of Histocompatibility and Immunogenetics; one of
six CMS - approved accreditation organizations
Automated review -Answer A RAC review using various types of analytics to identify
improper payments; usually done without a human review of the medical records
CAP -Answer College of American Pathologists; one of six CMS - approved accreditation
organizations
CERT -Comprehensive Error Rate Testing program instituted by CMS to monitor and
calculate the accuracy and error rates for all MAC's and to monitor the accuracy of
Medicare payments to FIs, carriers, and DMERCs
Certificate of Provider Performed Microscopy -The CLIA certificate issued to a
laboratory in which a physician, mid-level practitioner or dentist performs specific
microscopy procedures during the course of a patient's visit
Certificate of Accreditation - COA; the CLIA certificate issued to a laboratory based
upon the laboratory's accreditation by an accrediting organization approved by CMS
Certificate of Compliance - COC; the CLIA certificate issued to a laboratory after the
State Department of Health conducts an on-site survey/inspection and determines that
the laboratory is compliant with all applicable CLIA requirements
Certificate of Registration- The CLIA certificate issued to allow a laboratory to conduct
nonwaived testing until the laboratory is surveyed to determine its compliance with the
CLIA regulations
Certificate of Waiver- COW; the CLIA certificate issued to a laboratory that performs
only waived tests -"simple laboratory examinations and procedures that have an
insignificant risk of an erroneous result"
, CIA -Answer Corporate Integrity Agreement -the agreement that spells out the integrity
measure required of a provider that has engaged in serious misconduct but is being
allowed to continue participating in the healthcare programs, or Central Intelligence
Agency
CLIA -Answer Clinical Laboratory Improvement Amendment; the amendments that
established quality standards for all laboratory testing
CMP -Answer Civil Monetary Penalties
CMS -Answer Centers for Medicare and Medicaid Services
CMS Central Office Alert - Respond to one of the five types of Fraud Alerts; prepared by
ZPIC if a scheme is about to be publicized on a national level, case involves patient
abuse or large dollar amount, case involves politically sensitive testimony
COA -Answer Certificate of Accreditation; the CLIA certificate issued to a laboratory
based upon the laboratory's accreditation by an accrediting organization approved by
CMS
COC -Answer Certificate of Compliance; the CLIA certificate issued to a laboratory after
the State Department of Health conducts an on-site survey/ inspection and determines
that the laboratory is compliant with all applicable CLIA requirements
COLA - Commission on Office Laboratory Accreditation; one of six CMS-approved
accreditation organizations
College of American Pathologists - CAP; one of six CMS-approved accreditation
organizations
Commission on Office Laboratory Accreditation - COLA; one of six CMS-approved
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