Cpco - Study guides, Class notes & Summaries

CPCO CHAPTER 1 REVIEW EXAM 2024 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? - correct 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...

CPCO Test Prep | 36 Questions and Answers 100% Solved Does Medicare pay for all tests ordered by Providers? - 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? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Whi...

CPCO CERTIFICATION EXAM 2024 WITH 100% CORRECT ANSWERS C. Health Care Fraud and Abuse Control Program (HCFAC) - correct answer Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, what is the name of the national program designed to coordinate Federal, State and local law enforcement activities with respect to health care fraud and abuse? A. Health Care Fraud Prevention and Enforcement Action Team (HEAT) B. Health Care Recovery and Affordable ...

CPCO CERTIFICATION EXAM AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Does Medicare pay for all tests ordered by Providers? - 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? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted...

CPCO EXAM- 100 QUESTIONS AND ANSWERS

CPCO Certification Exam | 76 Questions and Answers 100% Solved C. Health Care Fraud and Abuse Control Program (HCFAC) - Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, what is the name of the national program designed to coordinate Federal, State and local law enforcement activities with respect to health care fraud and abuse? Health Care Fraud Prevention and Enforcement Action Team (HEAT) Health Care Recovery and Affordable Care Act...

CPCO CERTIFICATION EXAM

CPCO STUDY GUIDE | 473 Questions and Answers 100% Solved One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. - empowered If an employee, provider or anyone that deals with Federal or State healthcare dollars has intent to receive payment for services not legitimately rendered this is considered ______________? - fraud Joan, as an employee of a healthcare organization, has _________to report erroneous cond...

CPCO |457 QUESTIONS| WITH COMPLETE SOLUTIONS.