Chc on compliance - Study guides, Class notes & Summaries

CHC Exam Practice Questions and Verified Answers with Rationales| 2023/ 2024 Q: Related to Corporate Integrity Agreements with the government, what is an IRO and what are the details of how it works? Choose 2 answers. a. Independent Reorganization Operation. b. They do the auditing required by a CIA. c. The OIG hires them. d. They need to be fair and unbiased and can't have a financial relationship with the hospital. Answer: b. They do the auditing required by a CIA. d. They need ...

HCCA- CHC STUDY QUESTION REAL TEST BANK TEST WITH 700+ QUESTION AND CORRECT DETAILED ANSWERS RATED A+ GRADE. 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 documentation in Compliance? (hint: protections) - ANSWER-1.Protect our programs 2.Protect your patien...

CHC EXAM 2024 LATEST STUDY GUIDE VERIFIED QUESTIONS AND DETAILED CORRECT ANSWERS(GUARANTEED ANSWERS) ALREADY GRADED A+ . FSG-Community Service - ANSWER- An organization can perform community service only by employing it's resources or paying it's employees or others to do so. FSG-Compliance and ethics program. 4 factors to consider in meeting requirements - ANSWER- A). Applicable Government Regulation and Industry Practice B).Size of the organization C).Recurrence of similar miscond...

HCCA- CHC STUDY QUESTION REAL TEST BANK TEST WITH 700+ QUESTION AND CORRECT DETAILED ANSWERS RATED A GRADE. 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 documentation in Compliance? (hint: protections) - ANSWER-1.Protect our programs 2.Protect your patient...

CHC Random Study Questions 1 with Complete Answers Compliance means (Compliance Program) -Answer-Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee -Answer-C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not...

HCCA CHC Final Exam Practice Questions With Answers (MASTER FLASHCARDS) | 100% Verified. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings and Appeals (OMHA)? a. first level of appeal b. second level of appeal c. third level of appeal d. fourth level of appeal - Answer-c. . third level of appeal Frist level - redetermination by Medicare contractor Second level - reconsideration by Independent contractor Third appeal...

HCCA CHC - Stark & Anti Kickback Exam Questions With 100% Verified Answers AntiKickback Statute Highlights - answer1. 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 Highlights - answer1. Civil only (no prison time) 2. Medicare only 3. Strict Liability (does not consider knowledge or intent. if X happ...

CHC EXAM 2024 LATEST STUDY GUIDE VERIFIED QUESTIONS AND DETAILED CORRECT ANSWERS(GUARANTEED ANSWERS) ALREADY GRADED A+ . FSG-Community Service - ANSWER- An organization can perform community service only by employing it's resources or paying it's employees or others to do so. FSG-Compliance and ethics program. 4 factors to consider in meeting requirements - ANSWER- A). Applicable Government Regulation and Industry Practice B).Size of the organization C).Recurrence of similar misco...

CDRE Policies and Standards Exam Questions With 100% Correct Answers You have a high workload. What is expected form you? a) accepting every new client referred b)providing competent, safe and ethical service to each client c)you should see clients with a lower risk first d)you can see clients on a first come first serve basis - answerB You should triage patients. when 2 patients have similar risks, you should consider which intervention would do the most good An RD is from another pro...

CHC (2023/ 2024) Exam V1 |150 Questions and Verified Answers| 100% Correct Q: This is a very comprehensive legislation that ensures access to health coverage for those who change jobs or are temporarily out of work. It also provides the mechanism for funding the Department of Justice and the FBI for health care fraud investigations Answer: Health Insurance Portability and Accountability (HIPAA) Q: How long is PHI protected after the person's death? Answer: 50 years ...