Chapter 1 cpco - Study guides, Class notes & Summaries

HCCA - CHC Study Questions (MASTER FLASHCARDS) 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). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

CPCO CHAPTER 6 EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+/ Any laboratory performing testing on specimens derived from a human being for purposes of providing diagnosis, prevention, treatment, or assessment of health, regardless of whether they participate in Medicare, must: participate in a quality assurance program maintain adequate hours of operation for the underserved community enroll in the CLIA program have a certificate of compliance - -enroll in the CLIA program The CLIA la...

True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - Answer- 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 be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past c. Self-disclose this issue to limit th...

Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG to correct the issues. What does the term "CCA" refer to so that you (the Compliance Officer) can explain to Dr. Smith? - ANSWER-Certification of Compliance Agreement in which providers agree to continue to operate their existing compliance program. Response Feedback: CCA is a Certification of Compliance Agreement which requires providers to certify they will continue to operate their existing complianc...

Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG to correct the issues. What does the term "CCA" refer to so that you (the Compliance Officer) can explain to Dr. Smith? - ️️Certification of Compliance Agreement in which providers agree to continue to operate their existing compliance program. Response Feedback: CCA is a Certification of Compliance Agreement which requires providers to certify they will continue to operate their existing compliance...

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