CFO Regulatory Compliance & Legal Framework 3

Question 1

The Anti-Kickback Statute (AKS) prohibits orthotists from doing which of the following?

Accepted Answer

Offering free services to attract federally insured patients

Answer

The AKS prohibits offering, paying, soliciting, or receiving anything of value to induce referrals of items or services covered by federal healthcare programs.

Question 2

Which accreditation body is most commonly recognized by CMS for DMEPOS suppliers seeking Medicare accreditation?

Accepted Answer

ACHC (Accreditation Commission for Health Care)

Answer

ACHC is one of the CMS-approved accreditation organizations for DMEPOS suppliers, alongside HQAA and BOC.

Question 3

A state's orthotics practice act requires licensure for independent practice. An orthotist who practices without a license in that state is subject to which consequence?

Accepted Answer

Civil and/or criminal penalties depending on state law

Answer

Practicing without a required state license can result in civil fines, criminal charges, and cease-and-desist orders depending on state statutes.

Question 4

Under Medicare's competitive bidding program for DMEPOS, which category of orthotic items is currently subject to competitive bidding?

Accepted Answer

Off-the-shelf knee braces in designated areas

Answer

Certain off-the-shelf orthoses, including some knee braces, have been included in competitive bidding areas under Medicare's DMEPOS Competitive Bidding Program.

Question 5

Which document must accompany a Medicare claim for a custom-fabricated orthosis to demonstrate medical necessity?

Accepted Answer

A detailed written order (prescription) from the treating physician

Answer

Medicare requires a detailed written order signed by the prescribing physician establishing medical necessity before an orthotic device is provided.

(CFO) Certified Fitter Orthotics Practice Test

(CFO) Certified Fitter Orthotics Practice Test

CFO Regulatory Compliance & Legal Framework 3