Kickback - Study guides, Class notes & Summaries

HCCA CHC - Stark & Anti Kickback questions and answers guaranteed pass 2024/2025

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - Answer- c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? a. Stark Laws b. HIPAA c. Anti-Kickback law d. Qui Tam - Answer- c. Anti-Kickback law ...

AntiKickback Statute Highlights correct answer: 1. Criminal/Civil (you go out of business 2. Any federal health program (Medicare, Medicaid, Tri-Care) 3. Requires proof of improper intent (DOJ-Criminal) 4. Applies to any referral source 5. 24 Safe Harbors 6. OIG Advisory Opinions Stark Highlights correct answer: 1. Civil only (no prison time) 2. Medicare only 3. Strict Liability (does not consider knowledge or intent. if X happens, then you are held liable regardless of intent.) 4....

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 higher payment amount, billing a Medicare patient abov...

NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS 1. Which of the following activities is an example of abuse rather than fraud? A. upcoding B. misrepresenting the diagnosis C. inadvertent coding errors D. billing for services not rendered - Answer-inadvertent coding errors Rationale Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. Upcoding, misrepresenting the diagnosis, and billing for services not rendered are examples of fraud. Inadvertent ...

never grab the ___________ to up tighten the bit when changing ~ sandpaper used to sand straight or curved edges on your board ~ belt sander always run the _______ system when using sanders ~ vacuum only sand on the ______ side of the sander, never the backside ~ front the size of a belt sander is determined by the size of its _____. ours happens to be _____ inch belt ~ belt, 6x80 always be careful to keep ______ away from the belt or spindle. also watch out for your fingers _...

CAS1501 Assignment 4 (ANSWERS) Semester 2 2023 - DISTINCTION GUARANTEED Answers, guidelines, workings and references ......................Study the following video transcription; -rolling right it's enough -grand corruption at the highest level for the longest time and sadly the consequences of the staff will still be felt for many years to come -let me refresh your memories -state capture is much more than just corruption it sets out to repurchase key constitutional functions in o...

AAPC CPB Chapter 1-5/ 477 Q&A/ Already Graded A+/ . Terms like: 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 - Answer: d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hosp...

HCCA CHC - Stark & Anti Kickback Exam Questions With 100% Verified Answers AntiKickback Statute Highlights - answer1. Criminal/Civil (you go out of business 2. Any federal health program (Medicare, Medicaid, Tri-Care) 3. Requires proof of improper intent (DOJ-Criminal) 4. Applies to any referral source 5. 24 Safe Harbors 6. OIG Advisory Opinions Stark Highlights - answer1. Civil only (no prison time) 2. Medicare only 3. Strict Liability (does not consider knowledge or intent. if X happ...

chiropractic is under the jurisdiction of - Answer- Board of Chiropractic Medicine Regulations governing Chiropractic by the Board are in what chapters of what book - Answer- 456, 460, 64B2 of Florida Administrative code Three intentions of the 460 Chiropractic Medicine Practice Act and Regulations - Answer- meet minimum requirements for safe practice. establish a board, set requirements for licensee. a person who is registered by the board to perform chiropractic services under the di...