Dol audit - Study guides, Class notes & Summaries

Payroll Fundamentals Ch. 1 Exam 135 Questions with Verified Answers Common Law Test - Questions - CORRECT ANSWER 1) How independent is the employee? 2) How much control can be exercised over the worker? Common Law Test - Employee - CORRECT ANSWER - Required to comply with employer's instructions about when, where, and how to work - Works exclusively for the employer - Hired by the employer - Subject to dismissal; can quit without liability - Has a continuing relationship with the e...

ERISA - Answer- Employee Retirement Income Security Act 1974 SOC Reports - Answer- Service Organization Controls: for external vendors SOC 1 - Answer- Internal Controls & Financial reports; used by auditors SOC 2 - Answer- Security, availability, processing integrity, confidentiality and privacy controls;used by management, regulators, and others under an NDA SOC3 - Answer- Same as SOC2, but available for public use. Tribble V Edison - Answer- Landmark court case re fiduciary resp...

GBA/RPA 3 for CEBS Quizzes With Complete Answers!!

You are recording an accrued expense for your seller client, Sam Bosworth. This represents an item that Sam ____________________. - Answer Has incurred but hasn't paid Because proper trust fund handling and record keeping is extremely important, the ________ conducts routine audits of real estate companies. - Answer Washington State Department of Licensing Karen would like to sell her own home. What's the minimum real estate license she must possess? - Answer None Carla is selling her...

80/20 rule 80 percent of problems are caused by 20 percent causes. Pareto chart. LMRDA (Labor Management Reporting and Disclosure Act) Taft Hartley act, one regulation is prohibition of closed shops and the allowances of union shops with the consent of the majority of employees. Zipper clause an employment agreement in which both parties waive the right to demand bargaining on any matter not dealt with in the contract, regardless of whether that matter was contemplated when the contract was...

1992. The beginning of intensified provider audits and need for compliance. - GAO identified Medicare claims to be high risk for fraud/waste in what year? $23 billion - Initial audit determined how much in improper payments? Teaching Hospitals (University of Pennsylvania) - First Major Target of audits searching for fraud, waste, and abuse/ $30 Million (without admitting wrongdoing) - Settlement with University of PA? (Amount of settlement) Feb 1998 (hospitals), Other sec...

OBB - Operation Bad Bundle- Labs, DME, hospice, home health GAO - General Accounting Office- identified high risk of F/A in Medi What was the first major auditing target? - Teaching hospital CPUP - Clinical Practices of the University of Pennsylvania What was identified by PATH? - upcoding & Insufficient docs Who started the compliance initiative? - GAO noticed a discrepancy and called in the OIG Final Rule 2016 for Medicare Access/CHIP and MACRA? - Ended...

Ethical Decision Making model 1: recognize ethical issue 2: gather critical facts 3: identify stakeholders 4: consider alternatives 5: consider effect of stakeholders 6: consider comfort level 7: consider rules, regulations, and laws 8: make decision 9: document efforts 10: evaluate outcome professional organizations federal gov entities state gov entities accountants are subjects to the rules and regulations of these three entities aicpa this is a national profession...

GBA/RPA 3 Tibble v Edison ?? DOL Audit % of Unacceptable-Major deficiencies that affected overall quality of audit = 40% 00:15 01:41 SPD Initial distribution Must be distributed within 120 days after plan becomes subject to ERISA disclosure requirements. Skilled nursing facility benefits under M-care Part A Only if there has been a hospitalization of 3 days Typical costs of an administrative claims audit Cost for self-funded health plan is typically les...

Quorum requirements conflicts are resolved by: a. state statute b. the board of directors c. a vote of those present at a meeting d. appointment of a person as a proxy A Fidelity insurance provides coverage to ensure that the: a. board will meet its fiduciary obligations. b. manager will faithfully follow all document provisions. c. association will be covered for shortfalls in the reserve accounts. d. association will recover any funds lost through employee dishonesty D Br...