Cpco study - Study guides, Class notes & Summaries

CPCO VERIFIED STUDY GUIDE 2024.One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. - Answer 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 ______________? - Answer fraud Joan, as an employee of a healthcare organization, has _________to report erroneous conduct, without repe...

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 conduct, without repercussions, so that it may be corrected immedia...

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 conduct, without repercussions, so that it may be corrected immedi...

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 conduct, without repercussions, so that it may be corrected immedia...

One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. -ANSWER 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 ______________? -ANSWER fraud Joan, as an employee of a healthcare organization, has _________to report erroneous conduct, without repercussions, so that it may be co...

HCCA - CHC Study Questions (MASTER FLASHCARDS) 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). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

iance certification agreements (CCAs) require providers to certify they will continue to operate their existing compliance program for a fixed term. What is the typical term of a corporate integrity agreement (CIA)? - ANSWER-three years 2.The OIG has stated that an affective compliance plan can help create which of the following? - ANSWER-customer loyalty, community support, and financial success 3.The office for civil rights (OCR) has enforcement power for violations occurring as a result...

One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. -ANSWER 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 ______________? -ANSWER fraud Joan, as an employee of a healthcare organization, has _________to report erroneous conduct, without repercussions, so that it may be corr...

True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - Answer- TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurred in the past c. Self-disclose this issue to limit th...