FREE Certified in Healthcare Compliance Question and Answers

Question 1

What stage of the Medicare Part A or Part B appeals procedure does a qualified independent contractor review the appeal?

Accepted Answer

Second level of appeal

Answer

Fourth level of appeal

Answer

First level of appeal

Answer

Third level of appeal

Question 2

Which of the following is typically omitted from a benefit explanation?

Accepted Answer

Patient's medical history

Answer

Doctor's fee

Answer

Date of service

Answer

Insurance code for services

Question 3

Most fraud and abuse offenses are related to abnormalities in.

Accepted Answer

Billing

Answer

Scheduling

Answer

Treatment

Answer

Diagnosis

Question 4

Which of the following could result in a higher sentence for an organization, as per the Federal Sentencing Guidelines?

Accepted Answer

All of the above

Answer

Violation of the direct court order

Answer

Prior history of violations

Answer

Obstruction of justice

Question 5

Why does the Healthcare Quality Improvement Act grant healthcare peer review processes legal immunity and confidentiality?

Accepted Answer

To encourage participation by physician

Answer

To discourage complaints by patients

Answer

To maintain a sterile work environment

Answer

To prevent malpractice suits

Question 6

Which law introduced a fresh set of guidelines for cooperative responsibility?

Accepted Answer

Sarbanes-Oxley Act

Answer

United States Patriot Act

Answer

Stark law

Answer

Foreign Corrupt Practices Act

Question 7

Which of the following categories has the lowest likelihood of reporting errors?

Accepted Answer

Independent contractors

Answer

Support staff

Answer

Nurses

Answer

Primary care physician