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CPCO chapter 4 UPDATED ACTUAL Exam Questions and CORRECT Answers

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CPCO chapter 4 UPDATED ACTUAL Exam Questions and CORRECT Answers

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CPCO chapter 4 UPDATED
ACTUAL Exam Questions and
CORRECT Answers

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Terms in this set (35)

,If a group pays Anti-Kickback Statute
a hospital Examples of anti-kickback statute
monthly rent for violations:• A hospital providing
office space rental rates below fair market value
that is one-half to a physician who refers business
the going rate to the hospital• Routine waiver of
or fair market copayments or deductibles for
value, this is a patients under Medicare Part B• A
violation of drug or equipment supplier
which providing free benefits to a
regulation? provider who utilizes their product•
Stark Law A physician who is paid
FCA exorbitantly for speaking
CMS guidelines engagements by a company to
Anti-Kickback whom the provider refers business
Statute

,The RICO Act is Organized crime
a law that The RICO Act is a law that
increases the increases the severity of penalties
severity of for violations involving organized
penalties for crime.
violations of
what?
HIPAA
Human
resources
Organized
crime
Improper claim
submissions

, Deficit Bring a whistleblower action
Reduction Act DRA also requires that providers
(DRA) requires who have more than $5 million
that providers dollars either received or paid to
who have more the reimbursement from state
than $5 million Medicaid programs to provide
either received training and educate employees
or paid to the on the FCA and inform employees
reimbursement of their ability to bring a
from state whistleblower action.
Medicaid
programs
inform
employees of
their ability
to__________?
Bring a
whistleblower
action
File paper
claims
E-prescribe
medications to
reduce errors
Self-disclose

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