Stark law enforcement Study guides, Class notes & Summaries

HCCA CHPC ACTUAL EXAM STUDY QUESTIONS FROM ACTUAL PAST EXAM QUESTIONS AND ANSWERS WELL EXPLAINED AND 100% CORRECTLY VERIFIED BY EXPERTS AND GRADED A+ LATEST UPDATE 2024 compliance certification agreements (CCAs) require providers to certify they will continue to operate their existing compliance program for a fixed term. What is the typical term of a corporate integrity agreement (CIA)? three years The OIG has stated that an affective compliance plan can help create which of the following? c...

HSM 4215 Final Exam - Questions and Answers (Complete Solutions) Which of the following are good sources of information for the practice manager? Centers for Medicare and Medicaid Services, Dartmouth Atlas, Institute for Healthcare Improvement, and Kaiser family foundation Which of the following best describes accounting? A system for keeping score in business using dollars A group practice is defined as a medical practice consisting of two or more practitioners working in a common management ...

What elements should your code of conduct include? - -Tone from the top -Alignment with the organizations, mission, vision, values, culture, and history -Brief and easily readable -Conceptually covers general principles of conduct applicable to all members of the organization -incorporation of real life examples -Conceptual approach to use your code of conduct should be inspiring, motivational, and encouraging Deficit Reduction Act of 2005 (FOR MEDICAID) - Requires entities that receive or...

iance certification agreements (CCAs) require providers to certify they will continue to operate their existing compliance program for a fixed term. What is the typical term of a corporate integrity agreement (CIA)? - ANSWER-three years 2.The OIG has stated that an affective compliance plan can help create which of the following? - ANSWER-customer loyalty, community support, and financial success 3.The office for civil rights (OCR) has enforcement power for violations occurring as a result...

It is prohibited to dispense, prescribe of sell eyeglasses not made of shatter-resistant lenses or non-flammable frames to _______ 1. one eyed person 2. law enforcement officer 3. fireman 4. perso n < 18 years old *note: a practitioner, unless informed by person obtaining the eyeglasses or has personal knowledge of age or occupation, is not required to conduct an investigation of the person's occupation in determining if shatter-resistant lenses are necessary. Anti-kickback/fee splitting law...

AntiKickback Statute Highlights - 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 - 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. Must be a...

HCCA CHC health care compliance QUESTIONS AND UPDATED ANSWERS 2023/2024 can fraud and abuse be prosecuted by multiple agencies? - correct answer yes is homeland security one of the agencies within HHS that are working to combat healthcare fraud? - correct answer no are recovery audit contractors paid a flat fee to prevent conflicts of interest over enforcement? - correct answer no what rule did the greber case establish? - correct answer the one purpose rule is the ant...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

CDEO Exam Practice Questions And Answers - Latest Updated (Verified Answers). CDI programs are intended to be performed on a prospective basis to improve documentation deficiencies prior to claim submission. The intent is to identify deficiencies and make the appropriate corrections and prevent future deficiencies. CDI programs can also include retrospective reviews. - Which of the following statements is TRUE regarding clinical documentation improvement efforts? a. Documentation reviews s...

CPCO Exam Practice Questions With Correct Answers | Latest Update | Graded A+. Which component of the OIG has a duty of operating the OIG hotline? - Answer Office of Investigations What year did the GAO identify Medicare claims to be at high risk for fraud and abuse which resulted in the OIG initiating an audit of HCFA (CMS) payment system? - Answer 1992 Which department of the OIG is responsible for providing mission and administrative support to the OIG? - Answer Office of Management an...