CHC bundled exams with complete solution

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...

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 ...

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 ...

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...

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...

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...