Anti kickback statute - Study guides, Class notes & Summaries

1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...

Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of benefits d. Physician unique identifier number - ANSWERSd. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this vi...

Compliance 101 - Glossary of Compliance Terms 2023/2024 questions and answers Anti-Kickback Statute - answer-Prohibits the solicitation, receiving, offering, or paying of any remuneration directly or indirectly in cash or in-kind exchange. Attestation - answer-The affirmation by signature, usually on a printed form, that the action outlined has been accomplished by the individual signing; e.g., the individual has read the code of conduct and agreed to adhere to its principles. Attorney-Cl...

NCCT REVIEW LAW AND ETHICS EXAM QUESTIONS AND ANSWERS 1. Which of the following activities is an example of abuse rather than fraud? A. upcoding B. misrepresenting the diagnosis C. inadvertent coding errors D. billing for services not rendered - Answer-inadvertent coding errors Rationale Abuse is an unintentional mistake. Fraud is an intentional misrepresentation for gain. Upcoding, misrepresenting the diagnosis, and billing for services not rendered are examples of fraud. Inadvertent ...

NBC HIS Latest Exam With Correct Questions And Answers 2024 ABG: air-bone gap AC: air conduction ACA: American Conference of Audioprosthology AD: right ear (auris dextra) AU: both ears (auris uterque) A/D: Analog-to-Digital AGC: Automatic Gain Control AGCi: input compression AGCo: output compression AI-DI: Articulation Index/Directivity Index AKS: Anti-Kickback Statute ALD: assistive listening device ANSI: American National Standards Institute APHAB: Abbreviated Profile of Hearing...

AAPC CPB Chapter 1-5 Complete Questions With Answers 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of benefits d. Physician unique identifier number - correct answer d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hosp...

CPMA Exam Questions And Answers All Verified CMS Fraud Definition - ANS Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition - ANS An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud - ANS Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to ...

AABB correct answers American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse correct answers Improperly, and often unknowingly, violating regulations ALJ hearing correct answers The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks correct answers AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association correct answers AOA; one of six CMS...

How long should the CPARS reporting proces take? The CPARS reporting process should take no longer than 120 days. Phases of the Contracting Process Pre-Award; Award; Post-Award Pre-award phase consists of two primary activities: 1. Develop Solicitation (for our purposes, this is done by the Government or the contractor, focused on obtaining a subcontractor). 2. Develop Offer (this is done by the Contractor or Subcontractor) Award phase consists of one primary act...

CPMA Exam Questions and Answers Latest Updated 2023 CMS Fraud Definition Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a ...