Cpco exam prep - Study guides, Class notes & Summaries

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline...

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...

CPCO Exam Prep Questions and Verified Answers (2023/ 2024) Q: The Compliance Officer's main two responsibilities are to ____________the practice/organization's compliance program. Selected Answer: a. develop and then implement b. write and oversee c. report to the board and CFO d. provide training and policies for Answer: a. develop and then implement The Compliance Officer's main two responsibilities are to develop and then implement the practice/organization's co...

CPCO Exam Prep | 36 Questions and Answers 100% Solved Which Act of 2003 gave momentum to the e-prescribing movement, and was put in place to reduce medication errors due to illegible physician handwriting, etc.? - Medicare Modernization Act (MMA) The CMP Inflation Adjustment increased the maximum penalty amount per false claim to? - 10,781-$21,563, plus the assessment of not more than three times the amount claimed for damages In a qui tam action in which the government intervenes,...

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline...

CPCO Exam Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Which Act of 2003 gave momentum to the e-prescribing movement, and was put in place to reduce medication errors due to illegible physician handwriting, etc.? - Medicare Modernization Act (MMA) The CMP Inflation Adjustment increased the maximum penalty amount per false claim to? - 10,781-$21,563, plus the assessment of not more than three times the amount claimed for damages In a qui tam action in whic...

CPCO Exam Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+

CPCO Exam Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline...

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline...