Stark law enforcement Study guides, Class notes & Summaries

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...

CPMA Compliance and Regulatory Guidelines (Ch 1) Questions and Answers Scored A+ Operation Restore Trust (ORT) * Two year partnership of federal and state agencies working together to protect the healthcare trust fund through shared intelligence and coordinated enforcement * Three agencies involved: The Office of the Inspector General (OIG), the Health Care Financing Administration (now CMS), and the Administration on Aging (AoA). * Program is now called Senior Medicare Patrol (CMP) with the...

California Law Exam Optometry All 100% Correct Answers Any person holding a license shall notify the issuing board of any changes in mailing address within days after change 30 days 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. person < 18 years old *note: a practitioner, unless informed by person obtaining the eyeglasses or has personal kn...

CDEO Exam Practice Questions And Answers Latest Graded A+ 2023-2024. The CDEO will review the findings of the auditor to determine what should be done to resolve documentation the issues on a proactive basis to prevent documentation and compliance risks. - The CDEO will review the findings of the auditor in order to: a. Reprocess claims b. Make an addendum to the medical record c. Prevent deficient documentation d. Know what accounts should be adjusted off I, II, III, and IV For differen...

refusal to perform licensed activity is subject to disciplinary actions if a licensee refuses to provide services because of __(8)__ - 1. race 2. color 3. sex 4. religion 5. ancestry 6. disability 7. marital status 8. national origin T/F: an applicant can be denied a license if convicted of any crime - False. the crime or act must be substantially related to the qualifications, functions or duties of the profession T/F: A license can be denied/suspended/revoked based on character, r...

What long-held belief regarding the causes of criminal behavior did Edwin Sutherland dispute? Criminals are primarily created in the lower classes due to a feeling of inadequacy. What are some of the basic principles of differential association? Criminal behavior is learned, learning is a by-product of interaction, criminal techniques are learned, and perceptions of the legal code influence motives and drives. According to Matza, what is the process he refers to as "drift" mov...

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....

CPCO Exam Review Questions and Answers | Latest Update | Graded A+. Which component of the OIG has a duty of conducting audits, which results in reducing waste, abuse and mismanagement? - Answer Office of Audit Services According to Inspector General Daniel Levinson, what can help reduce enforcement on a provider from a CIA to a CCA? - Answer Have a robust and effective compliance program A majority of the OIG's resources goes to oversight of which programs? - Answer Medicare and Medicai...

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)? -ANSWER three years The OIG has stated that an affective compliance plan can help create which of the following? -ANSWER customer loyalty, community support, and financial success The office for civil rights (OCR) has enforcement power for violations occurring as a result ...

7 elements - Answer- Policies & Procedures Oversight Responsibilities/Assignments Oversight Responsibilities/Due Care Education and Training Monitoring and Auditing Enforcement and Discipline Response and Prevention ECHO - Answer- Economic, Clinical and Humanistic Outcomes Economic Outcomes - Answer- Comparison between the cost of what was received and the benefit derived from alternatives Clinical Outcomes - Answer- Changes to moribity/mortality rates as a result of healthcare in...