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CHC bundled exams with complete solution
CHC bundled exams with complete solution
[Show more]CHC bundled exams with complete solution
[Show more]Chapter 8 Federal Sentencing Guidelines (FSG) - Guidelines and policy in this section apply to 
sentencing in federal criminal prosecution when the convicted defendant is an organization 
FSG- 4 factors that increase ultimate punishment of an organization - 1.Involvement in or 
tolerance of criminal...
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Add to cartChapter 8 Federal Sentencing Guidelines (FSG) - Guidelines and policy in this section apply to 
sentencing in federal criminal prosecution when the convicted defendant is an organization 
FSG- 4 factors that increase ultimate punishment of an organization - 1.Involvement in or 
tolerance of criminal...
True or False: 
The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, 
Medicaid, and Children's Health Insurance Program (CHIP). - True 
ref. ACA section 6102 
According to HHS-OIG - what are three important reasons for proper documentation in Compl...
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Add to cartTrue or False: 
The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, 
Medicaid, and Children's Health Insurance Program (CHIP). - True 
ref. ACA section 6102 
According to HHS-OIG - what are three important reasons for proper documentation in Compl...
Federal Sentencing Guidelines - Culpability Score Aggravating Factors - 1. upper-level employee 
participates, condones, or ignores offense 
2. repeat offense 
3. hinder investigation 
4. awareness and tolerance of violation is pervasive 
Federal Sentencing Guidelines - Culpability Score Mitigating ...
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Add to cartFederal Sentencing Guidelines - Culpability Score Aggravating Factors - 1. upper-level employee 
participates, condones, or ignores offense 
2. repeat offense 
3. hinder investigation 
4. awareness and tolerance of violation is pervasive 
Federal Sentencing Guidelines - Culpability Score Mitigating ...
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified 
independent contractor? 
a. first level appeal 
b. second level appeal 
c. third level appeal 
d. fourth level appeal - b. second level appeal 
There are five levels of appeal. 
First level entails ...
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Add to cartAt which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified 
independent contractor? 
a. first level appeal 
b. second level appeal 
c. third level appeal 
d. fourth level appeal - b. second level appeal 
There are five levels of appeal. 
First level entails ...
True or False: 
Risk Management aligns with Quality Management in determining measures for risk avoidance and 
prevention - TRUE 
Your organization recently completed a contemporaneous audit of laboratory billing practices and found 
that copays have been written off. Which of the following should b...
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Add to cartTrue or False: 
Risk Management aligns with Quality Management in determining measures for risk avoidance and 
prevention - TRUE 
Your organization recently completed a contemporaneous audit of laboratory billing practices and found 
that copays have been written off. Which of the following should b...
An organizations code of conduct - Should be plain and concise. 
What impacts a Compliance Program's infrastructure? - Size, Resources (Compliance Budget, 
People, Training), Scope of Program. 
As best practice, P&Ps should be reviewed... - Annually. 
Those affected by P&Ps should be included in th...
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Add to cartAn organizations code of conduct - Should be plain and concise. 
What impacts a Compliance Program's infrastructure? - Size, Resources (Compliance Budget, 
People, Training), Scope of Program. 
As best practice, P&Ps should be reviewed... - Annually. 
Those affected by P&Ps should be included in th...
Organizations receiving more than $5 million in Medicaid funds must provide education on the False 
Claims Act (FCA) in accordance with the: 
a. Stark Laws 
b. Deficit Reduction Act (DRA) 
c. Anti-Kickback (AKS) Law 
d. Sherman Antitrust Law -b. Deficit Reduction Act (DRA) 
An Organization identifie...
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Add to cartOrganizations receiving more than $5 million in Medicaid funds must provide education on the False 
Claims Act (FCA) in accordance with the: 
a. Stark Laws 
b. Deficit Reduction Act (DRA) 
c. Anti-Kickback (AKS) Law 
d. Sherman Antitrust Law -b. Deficit Reduction Act (DRA) 
An Organization identifie...
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