One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. - Answer
... [Show More] empowered
If an employee, provider or anyone that deals with Federal or State healthcare dollars has intent to receive payment for services not legitimately rendered this is considered ______________? - Answer fraud
Joan, as an employee of a healthcare organization, has _________to report erroneous conduct, without repercussions, so that it may be corrected immediately - Answer duty
person who exposes misconduct, alleged dishonest or illegal activity occurring in an organization is called a______________? - Answer relator
The compliance program will flounder if employees of the organization are not aware of _________? - Answer laws and regulations that pertain to their specific job descriptions
When physicians (or their staff) make billing mistakes and errors the most important thing to do is _________? - Answer Send a refund
Judy is the Compliance Officer for Apple Medical Group. The practice is a small group of providers. Judy wants to have an open door policy as suggested by the OIG, thus she will? - Answer Post notices of up-to-date compliance information on the employee bulletin board
Participants in the Federal healthcare programs have an obligation to take measures, such as instituting a compliance program, to _________________? - Answer detects and prevent fraudulent, abusive and wasteful activities
Tim, the Compliance Officer for XYZ Community Hospital, should report to whom? - Answer CEO or Board
The biller at XYZ Community Hospital wants to win the award every month for posting the most insurance checks. Instead of giving the claims 30-60 days to clear, she bills them again at the end of the month. This is an example of? - Answer double billing
The OIG has described seven basic components of an effective compliance program for a small physician practice that are based from the _______________? - Answer Federal Sentencing Guidelines
Kim, Compliance Officer for ABC Provider Group, created a compliance plan and policy a year ago. While reviewing the groups Baseline Audits it comes to her attention that many of the staff have decided NOT to follow the compliance plan. The Non-Compliance has ____________? - Answer created a big risk of the group and Kim [Show Less]