CDEO Compliance, Regulatory & Legal Concepts

Question 1

What is the main purpose of the HIPAA Privacy Rule?

Accepted Answer

To protect patient health information

Answer

To allow free sharing of health data

Answer

To reduce medical coding errors

Answer

To standardize billing formats

Question 2

Which federal agency enforces healthcare fraud and abuse laws?

Accepted Answer

OIG

Answer

CMS

Answer

FDA

Answer

OSHA

Question 3

What is a key responsibility of compliance programs in outpatient practices?

Accepted Answer

Preventing and correcting legal violations

Answer

Marketing medical services

Answer

Maximizing service charges

Answer

Controlling clinical outcomes

Question 4

Which of the following is considered a violation of the False Claims Act?

Accepted Answer

Submitting a claim for services not rendered

Answer

Using outdated coding books

Answer

Failing to train staff regularly

Answer

Delaying chart updates

Question 5

Why are documentation audits important in outpatient care?

Accepted Answer

To verify documentation accuracy and compliance

Answer

To reduce patient visits

Answer

To meet staffing quotas

Answer

To create new marketing material

Question 6

What is the primary focus of CMS’s National Correct Coding Initiative (NCCI)?

Accepted Answer

To promote correct coding and prevent payment errors

Answer

To determine patient eligibility

Answer

To increase documentation speed

Answer

To regulate prescription drug use