Exam (elaborations)
100 quest CPCO
Exam of 16 pages for the course 100 quest at 100 quest (100 quest CPCO)
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100 quest CPCOcompliance certification agreements (CCAs) require providers to certify they will continue to
operate their existing compliance program for a fixed term. What is the typical term of a
corporate integrity agreement (CIA)? - correct answer-three years
The OIG has stated that an affective compliance plan can help create which of the following?
- correct answer-customer loyalty, community support, and financial success
The office for civil rights (OCR) has enforcement power for violations occurring as a result
willful neglect. the OCR can now impose civil monetary penalties of up to how much (prior to
inflation) Per HIPAA Privacy regulations violation? - correct answer-$50,000
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 has
known to have been, or should have been known to have been, provided through a
prohibited referral, and has not refunded the payment? - correct answer-stark law
Stark law band certain financial arrangements between the referring physician and an entity
that bill is the Medicare or Medicaid programs period and example of this is if a physician or
his... Has a financial relationship with an entity period - correct answer-All the above, wife,
cousin, friend
The compliance officer at a family practice office explains to the board that submitting claims
provided by exclude individuals or entities to government programs such as Medicare or
Medicaid versus a penalty related to: - correct answer-Civil monetary penalty
Steve is the compliance officer for orange labs period the CEO asked Steve if lavatories
should develop standards of conduct for employees period how should Steve respond? -
correct answer-Libraries should develop standards of conduct to clearly define the policies
What does the OIG consider the minimum requirement for a well-publicised guideline that
includes disciplinary steps? - correct answer-Including the disciplinary steps in the
companies in-house training procedure manuals
A medical office does not have a professional coders on staff but has hired one to provide
coding and billing compliance training for the staff period according to the OIG compliance
guideline, when professional coaching staff is not employed, who should be trained? -
correct answer-Any individual directly involved with billing and coding
Who should a compliance officer report directly to? - correct answer-The CEO, the managing
positions, and/or board.
What is recommended by the OIG when the practice uses an outsourced compliance
officer? - correct answer-Designating a liaison from the practice to communicate with the
,outside compliance officer and the practice has a business service agreement with the
outside compliance officer
Failure to respond quickly to suspected or alleged instances of non-compliance threats the
organisations reputation as trustworthy, law-abiding, and ——. - correct answer-The
organisations ability to participate with federally funded health care plans and or third-party
Payers
A compliance officer for an internal medicine group conduct the in-service training for all new
employees period he discusses the five most important federal fraud and abuse laws these
are: - correct answer-FCA, AKS, stark, exclusion, CMPL
Hospitals are prohibited from making payments directly or indirectly to a position as an
inducement to reduce or limit services provided to Medicare or Medicaid patients period the
hospital is subject to a civil money penalties of not more than how much for each individual
for homey payment is made? - correct answer-$2000
What rights do patients have one paying for healthcare services with cash? - correct
answer-they can restrict the use of their PHI
A child arrives at the emergency department appearing being period the patient's mother
states the child was attacked by her spouse period the provider notifies the local police
department period is this a HIPAA violation? - correct answer-no, PHI can be released to the
local police department in Cases of child abuse
The medical records Department at a healthcare centre asks the compliance officer, how far
do they need to go back to give a patient and accounting of the PHI disclosures on their
account? - correct answer-Six years
what rule sets limits with PHI? - correct answer-The PHI rule
On what date were all covered entities required to comply with HIPAA omnibus rules? -
correct answer-September 23, 2013
What covered entity had the most HIPAA a breaches? - correct answer-Business associates
Are deceased patient records treated differently? - correct answer-no, they are treated with
the same confidentiality
A hospital owns an urgent care center located miles from the hospital. In the preceding
calendar year, over 1/3 of the visits provided treatment for emergency medical conditions on
an urgent basis. Is the urgent care center required to see patients under EMTALA? Why? -
correct answer-Yes; because 1/3 of the visits in the preceding calendar year or for
emergency medical conditions, the urgent care center is considered a dedicated emergency
department under EMTALA
A Medicare participating hospital that has specialized capabilities such as a burn unit
hospital tells another hospital that they cannot take the burn patient because the Medicare
, patient population is costing them too much money. Are they allowed to turn away a burn
patient if they have capacity and the patient is not yet on their property? - correct answer-No
they must take all patients even OB if they participate in Medicare
if a patient in the emergency department asked to be transferred to another hospital, what is
One condition that must be met so that EMTALA is not evoked? - correct answer-The
consent of the receiving hospital must be obtained
Which agency does not have have a roll by the FDA in assuring laboratory testing for clear -
correct answer-HHS
Under EMTALA, a treating physician consult other physicians in what ways? - correct
answer-Telephone, video conferencing, and Internet
Which statement is true for clear testing? - correct answer-1. each laboratory must obtain a
separate class certification *
2. labs must keep our requests or orders on file every year
3. the states and territories message here only to the state guidelines
4. CDC is the one who conducts inspections and enforces regulatory compliance
Which certificate is issued to a laboratory that enables the entity to conduct moderate or high
complexity laboratory testing or both until the entity is determined by survey to comply with
CLIA regulations? - correct answer-Certificate of registration
when a hospital send a Patient home or transfers the patient without providing care, what is
this called? - correct answer-Patient dumping
What is not a definition of an occupational exposure? - correct answer-Bruised skin
The compliance officer for internal medicine tells the Board of Directors that... Is the key
factor in the prevention of OSHA injuries and illness - correct answer-Training and education
A non-smoking building sign - correct answer-Because of significant exposure to viruses and
other microorganisms
What information should not be included in a hazardous waste policy? - correct
answer-Regulated waste information
How many employees does an employer need to not be held FMLA policies? - correct
answer-50 or less
Under the federal guidelines a person may take up to... Weeks off FMLA - correct answer-12
weeks
In what year was the ADA amendment enacted? - correct answer-2008
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