Exam (elaborations)
Chapter 4(TAOCO Initial COL Training) questions well answered
- Course
- Institution
Chapter 4(TAOCO Initial COL Training) questions well answered
[Show more]
Content preview
Chapter 4Healthcare Reform Act set the stage for moving away from rewards for healthcare providers who can
achieve superior outcomes for their patients to fee-for-service payments. - correct answer ✔✔False
OIG recommends adopting a corporate compliance plan. - correct answer ✔✔True
Healthcare Reform Act requires all healthcare providers participating in Medicare to have a compliance
program in place. - correct answer ✔✔True
Medicaid covers health and long-term care services for many of the sickest and poorest Americans. -
correct answer ✔✔True
Double billing is an example of fraud. - correct answer ✔✔True
It is not a crime to transfer assets to gain Medicaid eligibility. - correct answer ✔✔False
A fine of $5,500 to $11,000 per claim plus up to three times the amount of damages caused to a federal
program can be assessed under the False Claim Act. - correct answer ✔✔True
ERISA regulates self-insurance plans. - correct answer ✔✔True
Healthcare provider is not considered a creditor. - correct answer ✔✔False
UBIT is imposed on income to a tax-exempt organization from an unrelated trade or business. - correct
answer ✔✔True
Stark Law allows a physician to refer a patient for certain "designated health services" to an entity with
which the physician has a "financial relationship". - correct answer ✔✔False
, Anti-Kickback Statue applies to all healthcare providers. - correct answer ✔✔True
HIPAA rules do not apply to healthcare providers, healthplans, and healthcare clearing houses. - correct
answer ✔✔False
Insurance plans are regulated at the state level. - correct answer ✔✔True
Whistleblower suit brought by individual under False Claims Act is Qui Tam Action. - correct answer
✔✔True
Internal control is a process effected by an entity's board of directors, management, and other personnel
designed to provide reasonable assurance regarding compliance with applicable laws and regulations. -
correct answer ✔✔True
Risk assessment is a process that assesses the quality of internal control performance over time. -
correct answer ✔✔False
Medicare is a significant part of the growth of both federal spending and healthcare spending in the
United States. - correct answer ✔✔True
Outpatient services received by Medicare enrollees are reimbursed through Part A of Medicare. - correct
answer ✔✔False
Medicare reimbursement for a physician calculation does not include relative units for the practice
expense. - correct answer ✔✔False
Medicare is the largest source of public funding for mental health care. - correct answer ✔✔False
Abuse consists of intentional acts of deception whereas fraud involves improper acts that are
inconsistent with the standard practice and may result in overpayment or over utilization. - correct
answer ✔✔False
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Sakayobako30. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79751 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now