OIG Study guides, Class notes & Summaries

Anatomy, Physiology, & Disease, 3rd Edition by Roiger Test Bank

CPCO prep Questions with Correct Answers Does Medicare pay for all tests ordered by Providers? - Correct Answer No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Correct Answer Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - Correct Answer To receive a denial so a claim can be submitted t...

When non-compliance is identified, what does the OIG recommended? a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. b. Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. c. Immediately terminate employment for the party found in non-complia...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO - b. Medicaid Which type of information is...

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline...

CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted...

The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - Answer- D. All the above Report copies and printouts, films, scans, and other radio logic service im...

AAPC CPC exam prep Compliance and Regulatory What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan - ANSWER C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potential p...

AAPC ICD10 Physician Coding for CPC Preparation (All Exams QUESTIONS AND ANSWERS GRADED A LATEST VERSIONS) with rationale Review Test Submissio n: Chapter 1 Quiz • Question 1 10 out of 10 points What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year? Selected Answer: Correct Answer: Response Feedback: c. OIG Work Plan c. OIG Work Plan Rationale: Twice a year, the O...

TA BLE OF CONTENTS 1 The Basics 2 Levels of Organization of the Human Body 3 The Integumentary System 4 The Skeletal System 5 The Muscular System 6 The Nervous System 7 The Nervous System—Senses 8 The Endocrine System 9 The Cardiovascular System—Blood 10 The Cardiovascular System—Heart and Vessels 11 The Lymphatic System 12 The Respiratory System 13 The Digestive System 14 The Excretory/Urinary System 15 The Male Reproductive System 16 The Female Reproductive System