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CPCO .
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CPCOWhat department helps to protect patients from unfair treatment or discrimination?Office for
Civil Rights - correct answer-Office for Civil Rights
What department helps to protect patients from unfair treatment or discrimination? - correct
answer-Office for Civil Rights
Which department is the largest inspector general's office in the federal government? -
correct answer-Office of the Inspector General
What term would be used for a practice that, either directly or indirectly, results in
unnecessary costs to the Medicare program? - correct answer-Abuse
Which federal government department is the OIG not responsible for overseeing? - correct
answer-Drug Enforcement Agency
In order for a compliance program to be effective, it needs to be: - correct answer-Regularly
reviewed and updated.
How many elements are required to have a successful compliance program? - correct
answer-Seven.
In what year did the OIG post guidance for hospitals? - correct answer-1998
An effective compliance program can: - correct answer-Help create financial success,
customer loyalty, community support and employee satisfaction.
There are many benefits of having an effective compliance program. One such benefit is: -
correct answer-It shows that the practice is making a good faith effort to be compliant.
Fraud, waste and abuse are all areas that must be controlled when providing services to
beneficiaries. Fraudulent billing is: - correct answer-A willful act.
All expenses related to developing and implementing a compliance program are considered
the cost of doing business and are tax deductible for the organization, except: - correct
answer-When the expenses are the result of the imposition of a penalty.
Payers expect all providers to refund monies tat are over =payments. By law, this must occur
within ... - correct answer-60 days of identification of overpayment.
Compliance programs are ... - correct answer-More dangerous if they are developed but not
implemented.
, The seven core elements used in the OIg Compliance Program Guidance are also used by
the United States Sentencing Commission (USSC) for which guidelines? - correct
answer-Federal sentencing guidelines (FSGs)
What is the most important aspect of a compliance program? - correct
answer-Implementation.
What is considered an appropriate start to implementing an effective compliance program for
small physician group practices with limited resources? - correct answer-Adopt only those
components which, based on the practice's specific history with billing problems and other
compliance issues, are most likely to provide an identifiable benefit.
OIG Compliance Program Guidance acknowledges patient care as: - correct answer-The
first priority of a physician practice.
Because of the changing nature of healthcare regulation, the compliance program ... -
correct answer-Is a "work in progress."
When do we need an outside consultant and/or legal counsel? - correct answer-There is no
requirement to hire a consultant or counsel; however, having assistance from one or both
may be beneficial during certain phases or development and/or if issues arise.
What should not be ignored and may require necessary policy measures to prevent
avoidable recurrence? - correct answer-Risk areas
What third-party plays a critical role in accurate billing and reimbursement? - correct
answer-Billing agencies
What should be readily accessible to all coding staff? - correct answer-All essential coding
resources
Why should compliance officers set disciplinary policies for non-compliance? - correct
answer-Employees should know the consequences for non-compliance of set policies.
A billing company's written policies and procedures should reflect current: - correct
answer-Federal and state statutes
How many states currently require nursing facilities to perform a background check of state
records for direct-access employees? - correct answer-43
How many states require nursing facilities to perform FBI checks on employees? - correct
answer-10
SNFs are Medicare certified facilities that provide skilled nursing or rehabilitative care under
Medicare Parts: - correct answer-A & B
What can providers review that will help them understand the compliance requirements of a
clinical lab? - correct answer-OIG's Clinical Lab Guidance
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