Drg creep - Study guides, Class notes & Summaries

©BRAINBARTER 2024/2025 CFE Exam Questions With 100% Verified Answers Falsified Hours & Salary Schemes - answerThe most common method of misappropriating funds from the payroll is the overpayment of wages. For hourly employees, the size of a paycheck is based on two factors: the number of hours worked and the rate of pay. Therefore, for hourly employees to fraudulently increase the size of their paycheck, they must either falsify the number of hours they have worked or change their wage r...

CHC Random Study Questions 1 with Complete Answers Compliance means (Compliance Program) -Answer-Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee -Answer-C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not...

HIMT 1100 final exam questions and answers graded A+ And admission discharge transfer (ADT) system is interface with an automated MPI to input patient registration information. True/False True Sally is responsible for gathering info for completion of birth certificates at the hospital. After the application for the birth certificate is completed, she should forward each to the: Local vital statistics office When an individual requests an accounting of disclosure of PHI, the facility has ____ ...

Lincoln's Law - Answer- Refers to the False Claims Act given that the FCA was introduced during the Civil War Anti-Kickback Statute - Answer- Prohibits any knowing and willful conduct involving solicitation, receipt, offer, or payment of any kind of remuneration in return for referring an individual or for recommending or arranging the purchase, lease, or ordering of an item or services that may be wholly or partially paid for under a deferral health care program Responsibilities accordin...

Compliance 101 questions and answers 100% guaranteed success. Anti-kickback statute - correct answers.Prohibits the solicitation, receiving, offering or paying of any renumeration directly or indirectly in cash or in kind in exchange. Stark Law - correct answers.Prohibits a physician from making referrals of Medicare and Medicaid patients for the furnishing of certain designated health services with which the physician has a financial relationship. Statistical sa...

CHC Practice Test questions and answers 100% correct At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified independent contractor? a. first level appeal b. second level appeal c. third level appeal d. fourth level appeal b. second level appeal There are five levels of appeal. First level entails a redetermination of claim; second level involves reconsideration by a qualified independent contractor; third level includes a hearing overseen b...

Compliance means (Compliance Program) - Answer- Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee - Answer- C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not state frequency of exclusion verifications. Ho...

Compliance 101 Study Guide questions and answers latest top score. Compliance Program - correct wing rules and regulations Integrity Program - correct s and doing the right thing Current Compliance activities in many organization - correct answers.o Equal Employment Opportunity Commission (EEOC) o Employee Retirement Income Security Act (ERISA) o Wage and Hour Rule o Occupational Safety and health Administration (OSHA) o Nuclear Regulatory Commission o Joint Commis...

CFE Exam 349 Questions with Verified Answers Falsified Hours & Salary Schemes - CORRECT ANSWER The most common method of misappropriating funds from the payroll is the overpayment of wages. For hourly employees, the size of a paycheck is based on two factors: the number of hours worked and the rate of pay. Therefore, for hourly employees to fraudulently increase the size of their paycheck, they must either falsify the number of hours they have worked or change their wage rate. Common ways ...

CHC Random Study Questions 1 Already Passed Compliance means (Compliance Program) Adherence to laws and regulations, as well as principles of ethical conduct OIG urges the ____________ to assist in the implementation of the compliance program and serves as advisors. A. Board B. CEO C. Compliance Committee D. Quality Committee C. Compliance Committee A compliance professional is reviewing the policies and procedures for exclusion verifications. The policy does not state frequency of exclusio...