Anti kickback - Study guides, Class notes & Summaries

Contracting Exam Final Questions With 100% Correct Answers The 3-in-1 Tool automates the following form - answerSF 44 All contract requirements over the Simplified Acquisition Threshold (SAT) require - answerAn independent government estimate All purchase requests must meet two requirements - answerGood item description, certified funds Although LDs are commonly used on ____________ contracts, they can also be used on other contracts except ______________ contracts - answerFFP, Servic...

1 SD is what percentage of samples in a normal population - 68% (2/3) 2 SD is what percentage of samples in a normal population - 95.5% (1/20) 3 SD is what percentage of samples in a normal population - 99.73% Accuracy - Closeness of a result to its actual value Analytical indicators - Quality control evaluations, proficiency test results, cross checks, QC of supplies Analytical Sensitivity - Probability of correct classification of diseased persons Analytical Specificity - Probability of...

Contracting Exam Final Questions With 100% Correct Answers The 3-in-1 Tool automates the following form - answerSF 44 All contract requirements over the Simplified Acquisition Threshold (SAT) require - answerAn independent government estimate All purchase requests must meet two requirements - answerGood item description, certified funds Although LDs are commonly used on ____________ contracts, they can also be used on other contracts except ______________ contracts - answerFFP, Servic...

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 ...

"hold harmless clause" CORRECT ANSWER-* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: CORRECT ANSWER-* more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a CORRECT ANSWER-entity that processes nonsta...

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...

Any person holding a license shall notify the issuing board of any changes in mailing address within ____ days after change - 30 days It is prohibited to dispense, prescribe of sell eyeglasses not made of shatter-resistant lenses or nonflammable frames to _______ - 1. one eyed person 2. law enforcement officer 3. fireman 4. person < 18 years old *note: a practitioner, unless informed by person obtaining the eyeglasses or has personal knowledge of age or occupation, is not required to...

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 ...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - ANSWER * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANSWER * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violati...

six main pieces of healthcare legislation Answer: -Anti-kickback statue -Patient/physician referral (stark law) -False claims act -HIPPA -EMTALA -PPACA tort law Answer: -one person's behavior causes injury, suffering, unfair loss or harm to another person what is medical malpractice Answer: -doctor owed patient a duty of care -doctor breached duty of care -doctor caused injury -patient suffered damages economic effects of medical malpractice Answer: ...