Anti kickback statute - Study guides, Class notes & Summaries
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CPMA Exam Questions And Answers All Verified
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CPMA Exam Questions And Answers All Verified 
CMS Fraud Definition - ANS Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition - ANS An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud - ANS Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to ...
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AAPC CPB Chapter 1-5 Complete Questions With Answers 2024.
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AAPC CPB Chapter 1-5 Complete Questions With Answers 2024. 
Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? 
 
a. Payment and remittance advice 
b. Eligibility in a health plan 
c. Coordination of benefits 
d. Physician unique identifier number - correct answer d. Physician unique identifier number 
 
A physician received office space at a reduced rate for referring patients to the hosp...
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CPMA Exam Questions and Answers Latest Updated 2023
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CPMA Exam Questions and Answers Latest Updated 2023 
CMS Fraud Definition 
Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
 
 
CMS Abuse Definition 
An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
 
 
CMS Examples of Fraud 
Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a ...
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AACE CCT || A+ Verified Solutions.
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AABB correct answers American Association of Blood Banks; one of six CMS- approved accreditation organizations 
 
Abuse correct answers Improperly, and often unknowingly, violating regulations 
 
ALJ hearing correct answers The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 
 
American Association of Blood Banks correct answers AABB; one of six CMS - approved accreditation organizations. 
 
American Osteopathic Association correct answers AOA; one of six CMS...
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Healthcare Compliance, common laws and regulations exam 2024 with 100% correct answers
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5 most important federal fraud and abuse laws: correct answers*False Claims Act (FCA) 
*Anti - kickback Statute (AKS) 
*Physician Self-Referral Law (Stark I II III ) 
*Exclusion Authorities 
*Civil Monetary Penalties Law (CMPL) 
 
The purpose of EMTALA is to prevent: 
a. Hospitals from rejecting patients in a discriminatory manner by, refusing treatment, or transferring patients to "charity hospitals" or "county hospitals," because they are unable to pay. 
b. Hospitals from admitting patient...
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AAHAM - CCT EXAM Accurate 100%
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AABB - ANSWER American Association of Blood Banks; one of six CMS- approved accreditation organizations 
 
Abuse - ANSWER Improperly, and often unknowingly, violating regulations 
 
ALJ hearing - ANSWER The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 
 
American Association of Blood Banks - ANSWER AABB; one of six CMS - approved accreditation organizations. 
 
American Osteopathic Association - ANSWER AOA; one of six CMS - approved accreditation organizat...
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CON 3900 Exam 11 August 2024 with 100- correct answers
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How long should the CPARS reporting proces take? 
The CPARS reporting process should take no longer than 120 days. 
 
 
 
 
Phases of the Contracting Process 
 
Pre-Award; Award; Post-Award 
 
 
 
Pre-award phase consists of two primary activities: 
1. Develop Solicitation (for our purposes, this is done by the Government or the contractor, focused on obtaining a subcontractor). 
 
2. Develop Offer (this is done by the Contractor or Subcontractor) 
 
 
 
 
Award phase consists of one primary act...
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CHAA Study Guide Latest Version Graded A
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CHAA Study Guide Latest Version 
 
Graded A 
 
Accreditation Defined as "a self-assessment and external peer assessment process used by 
healthcare organizations to accurately assess their level of performance in relation to established 
standards and to implement ways to continuously improve." 
 
Examples include: TJC, Healthcare Accreditation Program, DNVGL 
 
helps organize patient safety efforts, improves risk management, provides education, provides 
professional advice, authority for Med...
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Fraud, Waste and Abuse Training questions with correct answers
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Center for Medicare and Medicaid Services (CMS) CORRECT ANSWER The Centers for Medicare & Medicaid Services, is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program, and health insurance portability standards. 
 
Waste CORRECT ANSWER Incurring unnecessary costs as a result of deficient management, practices, or control...
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AAPC CPB Chapter 1-5 question n answers graded A+ 2023/2024
- Exam (elaborations) • 91 pages • 2023
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AAPC CPB Chapter 1-5Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? 
 
a. Payment and remittance advice 
b. Eligibility in a health plan 
c. Coordination of benefits 
d. Physician unique identifier number - correct answer d. Physician unique identifier number 
 
A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy ce...
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