Oig Study guides, Class notes & Summaries

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). - Answer True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the...

When non-compliance is identified, what does the OIG recommended? a .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. 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. c. Immediately terminate employment for the party found in non-complia...

Does the Postal Service receive tax dollars for operating expenses? - ANSWER-No What does the Postal Service rely on to fund its operations? - ANSWER-The sale of postage, products, and services What's the Postal Service's responsibility of mail? - ANSWER-To preserve and protect the security and sanctity of the mail in its custody from tampering. Postal Service employees are mandated by federal law to _____ and _____ all mail placed in its ____. - ANSWER-Preserve, protect, custody. Post...

HFMA CRCR Exam with 100% Correct Answers 2023 Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier al...

CPCS/CPMSM Sample Questions and Answers 2024 Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to the Joint Commission, who may amend the medical staff bylaws? Governing Body Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:06 / 0:15 Full screen Failure to meet the established qualifications and criteria for appointment should be reported to whom? The a...

You are an information assurance management officer (IAMO) at an organization of your choosing. One morning, as you're getting ready for work, you see an email from Karen, your manager. She asks you to come to her office as soon as you get in. When you arrive to your work, you head straight to Karen's office. “Sorry for the impromptu meeting,” she says, “but we have a bit of an emergency. There's been a security breach at the Office of Personnel Management.” We don't know how this...

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). - Answer- True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer- 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the app...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - ️️Yes According to TJC, who may amend the medical staff bylaws? - ️️Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - ️️The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - ️️Five years According to the NCQA what policy must an organization have ...

Chapter 3 CPCO - Other Applicable OIG Compliance Program Guidance

Chapter 3 CPCO - Other Applicable OIG Compliance Program Guidance with complete solution