CHC EXAM 2024 LATEST STUDY GUIDE VERIFIED QUESTIONS AND DETAILED CORRECT ANSWERS(GUARANTEED ANSWERS) ALREADY GRADED A+ .

CHC EXAM 2024 LATEST STUDY GUIDE VERIFIED QUESTIONS AND DETAILED CORRECT ANSWERS(GUARANTEED ANSWERS) ALREADY GRADED A+ . FSG-Community Service - ANSWER- An organization can perform community service only by employing it's resources or paying it's employees or others to do so. FSG-Compliance and ethics program. 4 factors to consider in meeting requirements - ANSWER- A). Applicable Government Regulation and Industry Practice B).Size of the organization C).Recurrence of similar misconduct FSG-Small Organization - ANSWER- <200 employees FSG-Pervasiveness under subsection b. - ANSWER- Case specific, depends on number and degree of responsibility, of individuals within substantial authority personnel who participated in,condoned, or were willfully ignorant of the offense. Obstruction does not apply to - ANSWER- Individuals hiding from organization 5 most important federal fraud and abuse laws - ANSWER- *False Claims Act (FCA) *Ant - kickback Statute (AKS) *Physician Self-referral *Law (Stark I II III ) *Exclusion Authorities *Civil Monetary Penalties Law (CMPL) Stark - designated health services (DHS) - ANSWER- *labs *PT,OT,Outpatient Speech/Language Pathology *Radiology, some other imaging *Radiation therapy, supplies *DME *Parenteral enteral nutrients supplies *Prosthetic Orthotic supplies devices *Home Health services *Outpatient Rx drugs *Inpatient and Outpatient Hospital Services Stark - strict liability - ANSWER- Proof of intent not required to prosecute Stark - ANSWER- Prohibits physicians from referring patients to receive DHS payable by Medicare or Medicaid from entities with which the physician or immediate family member has a financial relationship unless an exception applies. Stark-penalties - ANSWER- Fines and exclusion from federal healthcare programs. Stark-"Stand in shoes" - ANSWER- DHS entity that owns or controls an entity to which a physician refers Medicare patient for DHS. =A direct compensation arrangements. Audit- "Retrospective Audit","Baseline Audit","Snap Shot Audit" - ANSWER- Broad risk assessment of all areas you need to fix. Used to develop benchmarks. AuditConcurrent Audit: - ANSWER- Audit as issues arise then go back at 3,6 or more months to follow up.