Study guides, Class notes & Summaries

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...

CHC - CCB Practice Test Questions and Answers with Complete Solutions 100% Correct | New Update 2024

CHC EXAM Questions and Answers with Complete Solutions 100% Correct | New Update 2024

CHC Study Guide | 348 Questions and Answers with Complete Solutions 100% Correct | New Update 2024

CHC Exam Questions and Answers with Complete Solutions 100% Correct | New Update 2024

CHC Auditing & Monitoring (1) Exam Questions With 100% Verified Answers True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention - answerTRUE 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 s...

CHC EXAM: Communication, Education, & Training Exam Questions With 100% Verified Answers Methods to disseminate regulatory guidance materials - answerPost information on Organizations website, discuss complaints as she is during routine staff meetings or at special meetings, provide information about regulations and compliance issues in written form such as through FAQ sheet and posters, Target information to appropriate personnel rather than providing information to all, utilize key info...

HCCA CHC - Risk Assessment & Internal Controls Exam Questions And Answers Three steps of risk assessment - answer1) identify risk 2) measure risk 3) criteria for prioritization. U.S. Sentencing Guidelines state... - answerThe organization shall... (A) Assess periodically the risk that criminal conduct will occur, including assessing the following: 1) Nature and seriousness of criminal conduct 2) likelihood that criminal conduct will occur due to the nature of the organization's business ...

CHC Random Study Questions With 100% Verified Answers Fill in the blank: The ___________ ____ Act further required that the HHS Secretary, in consultation with HHS- OIG, establish "core elements" for provider and supplier compliance programs within a particular industry or sector. - answerAffordable Care Pursuant to 42 C.F.R. §§ 422.503(b)(4)(vi), 423.504(b)(4)(vi), and as incorporated into Chapter 21, Section 30 of the "Medicare Managed Care Manual": All sponsors are required to a...

HCCA CHC - Stark & Anti Kickback Exam Questions With 100% Verified Answers AntiKickback Statute Highlights - answer1. Criminal/Civil (you go out of business 2. Any federal health program (Medicare, Medicaid, Tri-Care) 3. Requires proof of improper intent (DOJ-Criminal) 4. Applies to any referral source 5. 24 Safe Harbors 6. OIG Advisory Opinions Stark Highlights - answer1. Civil only (no prison time) 2. Medicare only 3. Strict Liability (does not consider knowledge or intent. if X happ...

HCCA CHC – HIPAA Exam Questions With 100% Verified Answers Education & training: When designing curriculum for the audit learner - answerUnderstand whether the concepts or ideas will be in concert or in conflict with the learner. If State law is more/less strict than HIPAA - answerThe more strict law governs HIPAA stands for - answerHealth Insurance Portability and Accountability Act of 1996 HIPAA is enforced by - answerOCR, CMS & DOJ HIPAA General Rule 164.502 - answerA covered entity ...