In February 2020, an auditor is asked to review 10 records for date of service
12/1/2019 to make sure the claims were paid correctly. Te claims included
code 33010, which was denied on all the claims. Te denial was for an invalid
code. What should the auditor advise the provider?
A. Code 330...
✓ b. Take disciplinary action and document the date of the incident,
name of the reporting party, name of the person responsible for taking
action, and the follow-up action taken.
✓ According to the OIG, disciplinary action should be taken based on
the severity of the offense. Disciplinary actions could include oral
warnings, written reprimands, probation, demotions, termination, etc.
The incident should be documented with the date of the incident,
name of the reporting party, name of the person responsible for taking
action, and the follow-up action taken.
In a Corporate Integrity Agreement (CIA), does the OIG specify the
Independent Review Organization to be used?
a. Yes; the specific IRO will be named in the CIA.
b. Yes; the CIA will identify five IROs that can be used for the CIA Review.
c. No; the OIG does not have any input on the IRO used under any
circumstance.
d. No; the OIG does not specify the IRO to be used, but does retain the right
to notify the provider if they must select a new IRO.
Master01 | September, 2024/2025 | Latest update
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamArsenal. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
