Ch 1 cpco - Study guides, Class notes & Summaries

OBB - Operation Bad Bundle- Labs, DME, hospice, home health GAO - General Accounting Office- identified high risk of F/A in Medi What was the first major auditing target? - Teaching hospital CPUP - Clinical Practices of the University of Pennsylvania What was identified by PATH? - upcoding & Insufficient docs Who started the compliance initiative? - GAO noticed a discrepancy and called in the OIG Final Rule 2016 for Medicare Access/CHIP and MACRA? - Ended...

OBB correct answers Operation Bad Bundle- Labs, DME, hospice, home health GAO correct answers General Accounting Office- identified high risk of F/A in Medi What was the first major auditing target? correct answers Teaching hospital CPUP correct answers Clinical Practices of the University of Pennsylvania What was identified by PATH? correct answers upcoding & Insufficient docs Who started the compliance initiative? correct answers GAO noticed a discrepancy and called in the OIG...

CPCO Ch 2 Exam Questions & Answers 2023/2024 The non-compliance has created a big risk of the group and Kim needs to make sure that everyone knows about the risk of not following the compliance plan. - ANSWER-Kim, Compliance Officer for ABC Provider Group, created a compliance plan and policy a year ago. While reviewing the groups baseline audits, it comes to her attention that many of the staff have decided NOT to follow the compliance plan. Which statement is TRUE regarding this scenario?...

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...

CPCO CH. 4 EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ What are designated health services? - -• Clinical laboratory services • Physical therapy services • Radiology services, including magnetic resonance imaging, computerized axial tomography scans, and ultrasound services • Radiation therapy services including supplies • Parenteral and enteral nutrients, equipment, and supplies • Prosthetics, orthotics, and prosthetic devices and supplies • Home health services • O...