Chc au Study guides, Class notes & Summaries

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 paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid. A. Statistical Sampling B. Rat...

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 following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past c. Self-disclose this issue to l...

CHC Auditing & Monitoring (1) 2023 True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - Answer-TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past ...

True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - Answer- TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past c. Self-disclose this issue to limit th...

CHC Auditing & Monitoring (2) 2023 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? - Answer-Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid...

CHC Auditing and Monitoring Questions and Answers 2024

CHC Au

CHC Auditing & Monitoring (1) Questions and Answers 100% Correct True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurre...