Kickback Study guides, Class notes & Summaries

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...

chiropractic is under the jurisdiction of - Answer- Board of Chiropractic Medicine Regulations governing Chiropractic by the Board are in what chapters of what book - Answer- 456, 460, 64B2 of Florida Administrative code Three intentions of the 460 Chiropractic Medicine Practice Act and Regulations - Answer- meet minimum requirements for safe practice. establish a board, set requirements for licensee. a person who is registered by the board to perform chiropractic services under the di...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - Answer- c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? a. Stark Laws b. HIPAA c. Anti-Kickback law d. Qui Tam - Answer- c. Anti-Kickback law ...

If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: 2. manufacturing producer 2 Emergency exits must have which of the following components? 1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way) 2. Exit sign (must be lit), exit access (corridor), and exit (must be double doors) 3. Exit sign, exit access (lit corridor)...

AHFI Exam Latest Update Graded A+ Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions Prohibits offering, paying, soliciting or reviving anything of value to induce or reward referrals or generate Federal health care program business Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals Referrals from anyone Anti-Kickback Statute (42 US SS 1320a-7b (b) Any items or services Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) Intent MUST be proven (knowing and willful) ...

1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...

Anti-Kickback Statute (42 US SS 1320a-7b (b) prohibitions - Answer-Prohibits offering, paying, soliciting or reviving anything of value to induce or reward referrals or generate Federal health care program business Anti-Kickback Statute (42 US SS 1320a-7b (b) referrals - Answer-Referrals from anyone Anti-Kickback Statute (42 US SS 1320a-7b (b) - Answer-Any items or services Anti-Kickback Statute (42 US SS 1320a-7b (b) (Intent) - Answer-Intent MUST be proven (knowing and willful) Anti...

Which federal law requires that the Loan Estimate be provided to the borrower within three business days of the time of loan application is taken? - ANSWER-TILA What type of scam entails homeowners who are encouraged to refinance their property over and over until little or no equity remains? - ANSWER-Loan flipping or churning After a loan closing, funds are disbursed. When are the funds disbursed for an owneroccupied, residential refinance? - ANSWER-After 3 business-day rescission period W...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - ANSWER * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANSWER * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violati...

Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do? Report the incident to the compliance department (via compliance hotline or other mechanism) You are performing a regular inventory of the contr...