HAC Healthcare Accounting Regulatory Compliance & Auditing 3

Question 1

A healthcare organization discovers a self-disclosed overpayment from Medicare. Under the 60-day rule, from which date does the repayment clock begin?

Accepted Answer

The date the overpayment is identified

Answer

Under 42 U.S.C. § 1320a-7k(d), a provider must report and return an overpayment within 60 days of the date on which the overpayment is identified.

Question 2

Which Medicare cost report worksheet captures a hospital's capital-related costs for PPS reimbursement purposes?

Accepted Answer

Worksheet B-1

Answer

Worksheet B-1 of the Medicare Cost Report (Form CMS-2552) captures capital-related costs including depreciation, interest, and lease costs for cost apportionment purposes.

Question 3

Under HIPAA's Breach Notification Rule, when must a covered entity notify HHS of a breach affecting 500 or more individuals?

Accepted Answer

Without unreasonable delay and within 60 days of discovery

Answer

45 CFR § 164.408 requires covered entities to notify HHS of breaches affecting 500 or more individuals without unreasonable delay and no later than 60 calendar days after discovery.

Question 4

In healthcare auditing, the statistical sampling method that gives every item in a population an equal chance of selection is called:

Accepted Answer

Simple random sampling

Answer

Simple random sampling ensures every item in the population has an equal and independent probability of selection, making it the most fundamental probability-based sampling method.

Question 5

Which federal law requires Medicare Advantage plans and Part D sponsors to have effective compliance programs with mandatory training and a compliance officer?

Accepted Answer

42 CFR Part 422 and Part 423

Answer

42 CFR Part 422 (Medicare Advantage) and Part 423 (Part D) mandate compliance program requirements including a compliance officer, training, auditing, and monitoring for plan sponsors.

(HAC) Healthcare Accounting Certification Practice Test

(HAC) Healthcare Accounting Certification Practice Test

HAC Healthcare Accounting Regulatory Compliance & Auditing 3