Anti kickback statute - Study guides, Class notes & Summaries

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 - ANSWERSd. Physician unique identifier number A claim is received by a payer that subsequently requests the medical records for the date of service on the claim. What procedure should be followed by th...

AABB correct answer: American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse correct answer: Improperly, and often unknowingly, violating regulations ALJ hearing correct answer: The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks correct answer: AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association correct answer: AOA; one of si...

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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 - ️️d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this viola...

Con 3990 Exam Questions With 100% Correct Answers How long should the CPARS reporting proces take? The CPARS reporting process should take no longer than 120 days. Phases of the Contracting Process Pre-Award; Award; Post-Award Pre-award phase consists of two primary activities: 1. Develop Solicitation (for our purposes, this is done by the Government or the contractor, focused on obtaining a subcontractor). 2. Develop Offer (this is done by the Contractor or Subcontractor) Award phase ...

Con 3990 Exam Questions With 100% Correct Answers How long should the CPARS reporting proces take? The CPARS reporting process should take no longer than 120 days. Phases of the Contracting Process Pre-Award; Award; Post-Award Pre-award phase consists of two primary activities: 1. Develop Solicitation (for our purposes, this is done by the Government or the contractor, focused on obtaining a subcontractor). 2. Develop Offer (this is done by the Contractor or Subcontractor) Award phase ...

AABB correct answer: American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse correct answer: Improperly, and often unknowingly, violating regulations ALJ hearing correct answer: The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks correct answer: AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association correct answer: AOA; one of si...

Compliance 101 Question and answers 2024 verified to pass Anti-Kickback Statute - correct answer Prohibits the solicitation, receiving, offering, or paying of any remuneration directly or indirectly in cash or in-kind exchange. Attestation - correct answer The affirmation by signature, usually on a printed form, that the action outlined has been accomplished by the individual signing; e.g., the individual has read the code of conduct and agreed to adhere to its principles. Attorney-...

Con 3990 Exam Questions With 100% Correct Answers How long should the CPARS reporting proces take? The CPARS reporting process should take no longer than 120 days. Phases of the Contracting Process Pre-Award; Award; Post-Award Pre-award phase consists of two primary activities: 1. Develop Solicitation (for our purposes, this is done by the Government or the contractor, focused on obtaining a subcontractor). 2. Develop Offer (this is done by the Contractor or Subcontractor) Award phase ...

The federal ___________ law prohibits anyone (a person or corporate entity) from intentionally soliciting or receiving remuneration (anything of value such as bribes, rebates, Cash, etc.), directly or indirectly, to get Patient referrals and/or additional business reimbursed under federal healthcare Programs Such as Medicare and Medicaid. CORRECT ANSWER-anti-kickback The purpose of the anti-kickback rule is to protect patients and federal healthcare programs from _________ and _______ . CORRE...