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ATI LEADERSHIP EXAM QUESTIONS 100% SOLVED WITH COMPLETE SOLUTIONS
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ATI LEADERSHIP EXAM QUESTIONS 100% SOLVED WITH COMPLETE SOLUTIONS 1. An employee in a provider's office suspects fraudulent activity. Which of the following actions should the employee take after contacting the Office of Inspector General (OIG) Hotline to report the fraudulent activity? (Selec...

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  • July 2, 2024
  • 10
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • ati leadership exam questions 100 solved with co

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  • ATI LEADERSHIP
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ATI LEADERSHIP EXAM QUESTIONS 100% SOLVED WITH
COMPLETE SOLUTIONS


1. An employee in a provider's office suspects fraudulent activity. Which of the
following actions should the employee take after contacting the Office of
Inspector General (OIG) Hotline to report the fraudulent activity? (Select all that
apply.)
a. Stop filing the suspicious bills and claims.
b. Pursue knowledgeable legal counsel.
c. Follow up with the OIG to confirm receipt of the report.
d. Disengage professionally with the suspected perpetrator.
e. Report and return overpayments.
abde
2. Which of the following pieces of legislation mandated the establishment of a
joint Health Care Fraud and Abuse Control (HCFAC) program?
a. False Claims Act
b. Health Insurance Portability and Accountability Act (HIPAA)
c. Patient Protection and Affordable Care Act
d. Stark Law
b
3. According to recent estimates, which of the following sources of health care
waste has had the largest financial impact?
a. Lack of care coordination
b. Preventable conditions and avoidable care
c. Administrative system inefficiencies
d. Unwarranted use of medical resources or services
d

, 4. A nurse overhears a provider refer a client who has Medicare to a durable
medical equipment company owned by the provider's father-in-law. The nurse
should identify that which of the following statutes has been violated?
a. False Claims Act
b. Anti-Kickback Statute
c. Stark Law
d. Patient Protection and Affordable Care Act
c
5. Which of the following agencies of the U.S. government has the authority to
exclude individuals and entities from participating in federal health care
programs?
a. Medicare Recovery Audit Contractors (RACs)
b. Health Care Fraud Prevention and Enforcement Action Team (HEAT)
c. Office of Inspector General (OIG)
d. Department of Justice (DOJ)
c
6. Which of the following is an example of a best practice strategy to prevent
fraud, waste, and abuse?
a. Establish procedures for maintaining and distributing medication samples.
b. Have providers submit claims directly to a health care benefit program.
c. Document client encounters and services in the medical record at the end of
the workday.
d. Use upcoding sparingly when submitting claims.
a
7. The Health Insurance Portability and Accountability Act (HIPAA) mandates that
health care entities implement which of the following strategies to help reduce
the Medicare fee-for-service error rate and prevent payment for potentially
fraudulent activity?
a. Balance billing
b. Electronic health records

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