CHC - CCB Practice Test 2024 with 100% complete solutions

Organizations receiving more than $5 million in Medicaid funds must provide education on the False Claims Act (FCA) in accordance with the: a. Stark Laws b. Deficit Reduction Act (DRA) c. Anti-Kickback (AKS) Law d. Sherman Antitrust Law correct answersb. Deficit Reduction Act (DRA) An Organization identifies a potential issue when reviewing personal services and management contracts. Which of the following should the compliance professional consider in analyzing the issue? a. Deficit Reduction Act (DRA) b. Conditions of Participation (CoP) c. IRS tax-exempt guidelines d. Anti-Kickback (AKS) Safe Harbors correct answersd. Anti-Kickback (AKS) Safe Harbors A hotline caller states the coding department was instructed to code based on LCD requirements regardless of medical record information. Which of the following should be the compliance professional's FIRST action? a. direct the coding supervisor to follow the applicable policy b. incorporate the coding issue into next year's risk assessment c. design a review to find facts and circumstances related to the compliant d. engage outside counsel to protect the underlying facts from discovery correct answersc. design a review to find facts and circumstances related to the compliant In development of the annual work plan, physician contract compliance was prioritized as a high-risk area. When the compliance professional followed up with management, it appeared that the monitoring identified for this area was never put into place. Which of the following should be the compliance professional's FIRST step? a. Develop a corrective action plan