Chapter 1 cpco - Study guides, Class notes & Summaries

1992. The beginning of intensified provider audits and need for compliance. - GAO identified Medicare claims to be high risk for fraud/waste in what year? $23 billion - Initial audit determined how much in improper payments? Teaching Hospitals (University of Pennsylvania) - First Major Target of audits searching for fraud, waste, and abuse/ $30 Million (without admitting wrongdoing) - Settlement with University of PA? (Amount of settlement) Feb 1998 (hospitals), Other sec...

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 CHAPTER 1 QUESTIONS AND ANSWERS

CPCO Chapter 1 Review Exam Questions & Answers 2023/2024 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? - 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 ...

CPCO CHAPTER 1, INCLUSIVE EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ How many elements are required to have a successful compliance program? 7 What is required for a compliance program to be effective? Regularly review and update the compliance program. Brainpower Read More Which department is the largest inspector general's office in the federal government? HHS Office of Inspector General Sue works for ABC Family Physicians. The providers at this office ask her to research the de...

CPCO Chapter 1 Exam With Complete Solutions...

HCCA CHC Final Exam Practice Questions With Answers (MASTER FLASHCARDS) | 100% Verified. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings and Appeals (OMHA)? a. first level of appeal b. second level of appeal c. third level of appeal d. fourth level of appeal - Answer-c. . third level of appeal Frist level - redetermination by Medicare contractor Second level - reconsideration by Independent contractor Third appeal...

HCCA - CHC (MASTER FLASHCARDS) Exam Questions With Answers Latest | Graded A+. According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer-1.Protect our programs 2.Protect your patients 3.Protect the Provider #:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20prot ect%20you%20the%20provider. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings...

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...