HCCA CHC Study Bundle Graded A+ 2024 .

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). - Answer True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documenta...

Concern - Answer Health outcomes and disparities in healthcare distribution Health Policy - Answer ► A policy is a course of action to be followed by a government, business or institution to obtain a desired effect. ► So a HEALTH POLICY can be defined as a healthcare goal and the PLAN ...

A compliance professional has been working with a department director to implement a new policy regarding timely completion of medical records. Which of the following should be completed by the department manager to promote compliance with the new policy? a. Statistically valid sampling audit b. M...

Education & training: When designing curriculum for the audit learner - Answer Understand whether the concepts or ideas will be in concert or in conflict with the learner. If State law is more/less strict than HIPAA - Answer The more strict law governs HIPAA stands for - Answer Health...

Compliance Program - Answer Following rules and regulations Integrity Program - Answer Values doing the right thing Current Compliance activities in many organizations - Answer Equal Employment Opportunity Commission (EEOC), Employee Retirement Income Securities Act (ERISA), Wage and ...

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 O...

A compliance professional is trying to determine if attorney client privilege should be requested. The compliance professional's policy should require attorney-client privilege to be established in which of the following situations: a. Violation of employee that occurred outside of the organizatio...

Affordable Care Act - Answer Allowed more hospital construction bc it allowed hospitals to more confidently predict their finances. More infrastructure, tech and finance influence construction also. FGI: Guidelines (2014 Edition 2) - Answer FACILITY GUIDELINES INSTITUTE: Guidelines for the de...

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 Highligh...

Methods to disseminate regulatory guidance materials - Answer Post information on Organizations website, discuss complaints as she is during routine staff meetings or at special meetings, provide information about regulations and compliance issues in written form such as through FAQ sheet and pos...

Health Services Manager - Answer the inclusive term for individuals in many different positions who plan, organize and coordinate the delivery of health care positions are found in hospitals which account for more than half of the jobs in this field, as well as medical group practices, outpatie...

Chapter 8 Federal Sentencing Guidelines (FSG) - Answer 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 - Answer 1.Involvement in or tol...

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 - Answer b. second level appeal There are five levels of appeal. First lev...

Informed Consent -Answer A statement that the study involves research. Explanation of purpose of research. Expected duration of subject's participation. Procedures to be followed. Identification of experimental procedures. Reasonably foreseeable risks or discomforts. Benefits to subject or to o...