Compliance Central
Organizations receiving more than $5 million in Medicaid funds must provide education on the False Claims Act in accordance with the:
a) Stark Laws
b) Deficit Reduction Act
c) Anti-Kickback Statute
d) Sherman Antitrust Law
b) Deficit Reduction Act
which of the following government bodies has enforcement authority for HIPAA privacy:
a) OIG
b) FDA
c) OCR
d) OSHA
c) OCR
What does MRI stand for
Magnetic Resonance Imaging
What is the written statement that details a provider's privacy practices?
Notice of Privacy Practices or NPP or NOPP
What is the capital of New York?
Albany
Corporate Integrity Agreements are negotiated primarily between the:
a) US Attorneys and the hospital
b) DOJ and provider
c) Federal Sentencing Commission and the organization
d) OIG and the health care entity.
d) OIG and the health care entity.
Which of the following laws applies to physician referrals:
A) STARK
B) EMTALA
C) HIPAA
D) FCA
A) STARK
In the medical term myopathy, the term "pathy" means disease. What is diseased?
muscle
What does TPO stand for in the HIPAA context?
Treatment, Payment and Operations
What is the capital of Qatar?
Doha
When non compliance is substantiated, disciplinary action should be administered:
a) within 30 days
b) if intent is proven
c) in a consistent manner
d) after completion of corrective action.
c) in a consistent manner
A provider conducts a follow up visit for a patient to assess a chronic condition and bills for a comprehensive new-patient office visit. This is an example of:
A) DRG creep
B) Upcoding
C) Phantom Billing
D) Unbundling
B) Upcoding
What is the outer bone located in the forearm?
The radius
The Jeopardy! Store uses SSL technology to encrypt personal information like credit card numbers, names, and addresses. What does SSL stand for?
Secure Sockets Layer
What is the capital of Switzerland?
Bern
Qui Tam actions enable any person to bring forth an action to the:
a) employer, based upon original knowledge
b) employer, based upon public knowledge
c) government, based upon public knowledge
d) government, based upon original knowledge
d) government, based upon original knowledge
A list of individuals or entities excluded from contracting with federal agencies and from participating in Medicare programs can be found via the:
A) SDN List
B) OIG Exclusion Database
C) SAMs Exclusion Database
D) OFAC list
C) SAMs Exclusion Database
The medical abbreviation Q.I.D. stands for the following:
What is four times a day.
What are the 3 types of safeguards included in the Security Rule?
Physical, Technical and Administrative
What is the county that Ithaca, NY is located?
Tompkins County
Co insurance and deductibles can be waived:
a) for any federal payors
b) during the admission process
c) following payment to the third parties
d) if there is a proven financial hardship
d) if there is a proven financial hardship
What is true about Medicaid Integrity Programs:
A) Established by the DRA of 2005
B) federally administered and state-monitored
C) Audited by MACs
D) Created to combat Medicare provider FWA
A) Established by the DRA of 2005
What is the medical term for the rare condition where a person's body turns blue?
Cyanosis
What company paid the largest OCR fine? Bonus if you can guess the year it was paid!
Anthem paid $18 million in 2018 as a result of a 2015 breach that exposed 79 million people.
What is the capital of Tanzania?
Dodoma