According to the oig - Study guides, Class notes & Summaries

HCCA - CHC EXAM STUDY PACK 2024 –ACTUAL EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS-LATEST UPDATE /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). True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) 1.Protect our programs 2. Protect your patients 3. ...

AAPC ICD10 Physician Coding for CPC Preparation (All Exams QUESTIONS AND ANSWERS GRADED A LATEST VERSIONS) with rationale Review Test Submissio n: Chapter 1 Quiz • Question 1 10 out of 10 points What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year? Selected Answer: Correct Answer: Response Feedback: c. OIG Work Plan c. OIG Work Plan Rationale: Twice a year, the O...

What anatomical or compartment contains all the thoracic viscera except the lungs? - Mediastinum Who is responsible for enforcing the HIPAA security rule - Office of Civil Rights (OCR) ABN - Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - Periodic audits What does the abbreviation MAC stand for? - Medicare Administrative Contractor How many lobes make up the RIGHT lung? - the right has 3 lobes the left has 2 lobes

What anatomical or compartment contains all the thoracic viscera except the lungs? - correct answer Mediastinum Who is responsible for enforcing the HIPAA security rule - correct answer Office of Civil Rights (OCR) ABN - correct answer Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - correct answer Periodic audits What does the abbreviation MAC stand for? - correct answer Medicare Administrative Contracto...

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 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? 1.Protect our ___________________ 2.Protect your ___________________ 3.Protect the ___________________ 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the ...

The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above correct answers D. All the above Report copies and printouts, films, scans, and other radio logic serv...

CPMA Exam Questions with All Correct Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - Answer-D. All the above Report copies and printouts, f...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

CPCO prep exam questions & answers 2023/2024 Does Medicare pay for all tests ordered by Providers? - ANSWER-No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - ANSWER-Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - ANSWER-To receive a denial so a claim can be submitted to a secondary pa...

CPMA Exam Questions with All Correct Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - Answer-D. All the above Report copies and printouts, ...