CHC Random Study Questions 2 with Complete Solutions 2023/2024,CHC Compliance Program Administration Questions and Answers 100% Verified 2023/2024,CHC Auditing & Monitoring (1) Questions with Complete Solutions 2023/2024,CHC Auditing & Monitoring (2) Well

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). - Correct Answer True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper docu...

HIPAA became law - Correct Answer 1996 What is the purpose of HIPAA? - Correct Answer • To make health insurance portable under ERISA; • To move health care onto a nationally standardized electronic billing platform; and • To prevent fraud, waste and abuse Intent - Correct Answer pur...

Chapter 8 Federal Sentencing Guidelines (FSG) - Correct Answer Guidelines and policy in this section apply to sentencing in federal criminal prosecution when the convicted defendant is an organization FSG- 4 factors that increase ultimate punishment of an organization - Correct Answer 1.Involveme...

A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? - Correct Answer Full statistical audit A Physician practice are having a hard time determining which claims have been p...

True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - Correct Answer TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the fol...

A compliance program at its most basic level would be: (think of the 1st CP element) - Correct Answer A set of internal policies and procedures that you put into place to help your organization comply with the law. Before developing a Compliance Program, FIRST, conduct a ___ _______, then, NEXT, ...

Fill in the blank: The ___________ ____ Act further required that the HHS Secretary, in consultation with HHS-OIG, establish "core elements" for provider and supplier compliance programs within a particular industry or sector. - Correct Answer Affordable Care Pursuant to 42 C.F.R. §§ 422.503...