What is the tam - Study guides, Class notes & Summaries

1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they are presented to the office manager, who tells the biller not to write the refund check. The medical practice is going to put the money in their general account instead. What act does this action violate? A.Truth in Lending Act B.Health Insurance Portability and Accountability Act C.Administrative Simplification Rule D.False Claims Act - correct answer 1.Answer: D. False Claims Act ...

Cpma Study Questions And Answers What is the civil penalty Not less than 5000 and not more than 10,000 per claim x3 times the amount of government damages Federal False Claims Act Having knowledge that claims is fake. .1 knowing and knowingly that a person must act in deliberate ignorance of the truth or falsely of the relevant information or act in a reckless manner of the truth or falsity of the Information Qui Tam whistleblower what percentage is offered for a whistleblower/qui tam ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - covered entity Which of the following is not a covered entity in the Privacy Rule - healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? - release reqt to ins co How ma...

CPMA EXAM QUESTIONS AND ANSWERS 100% SOLVED Fraud or Abuse: Billing for a service at a higher level than provided Fraud What is a Qua Tam relator? A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law & Antikickback law? No INTENT must be provien for Stark, Antikickpack requires proof of intent When banned for Fed/State healthcare program, what is the term of exclusion (in Years)? 5 years How often are the OIG workp...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index Answer c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? a. Stark Laws b. HIPAA c. Anti-Kickback law d. Qui Tam Answer c. Anti-Kickback law Which ...

EDUC 230 Midterm questions & answers rated A+Disability - correct answer Any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a person Handicap - correct answer a disadvantage for a given individual that limits or prevents the fulfillment of a normal role Impairment - correct answer any loss or abnormality of psychological, physiological, or anatomical structure or function] TAM (Team Approach to...

TAM Card Test | Questions and Correct Answers | Latest Update 2024/2025 | Graded A+ Purpose of TAM Card - Answer -Educate and train business owners and their employees to create safe and comfortable work environments for everyone. Beverage alcohol is a regulated substance and society has placed significant responsibility on the server to dispense it properly. True or False? - Answer -True Alcohol is classified as a depressant. True or False? - Answer -True What is the first sign that s...

A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - Answer Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - Answer An office receives a call from the patient's husband asking for information about his wife's recent office vis...

©BRAINBARTER 2024/2025 CPMA STUDY QUESTIONS With Verified Answers. WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE? - answer1. Reviewing quality of care provided to patients. 2. Educating providers on documentation. 3. Ensuring all services are supported and all appropriate revenue is captured. 4. Defending against external audit malpractice litigation and health plan request and denial. Exclusion Statute - answer1.Physician is banned from participating in any federal or state healthcare ...

HIPPA REGULATION: Privacy Overview - There are three major areas addressed in the Privacy Regulation: 1. Use and disclosure of PHI, 2. Patient rights 3. Security administrative and physical Business Associates - can be held directly accountable by federal or state authority for failure to comply with HIPAA statutory or regulations. ex. IT techs, Janitors, Cleaning Services, Vendors, Collection agencies, Consultants and Billing Services. Entities - ex. doctors, hospitals, pharmacy Breach - ...