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Exam (elaborations)

Lab Management Exam 5 Questions And Answer

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LAB MANAGEMENT EXAM 5 QUESTIONS AND ANSWER

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LAB MANAGEMENT EXAM 5
QUESTIONS AND ANSWERS



Whatwiswthewprimarywfederalwhealthwcarewprogramwthatwmaywdenywpaymentwforwawtest
wthatwdoesn'twmeetwitswcoveragewcriteria?w-wans-✔✔Medicare


Whatw7wfundamentalwelementswdoeswOIGwsuggestwbewincludedwinwawlaboratorywcomp
liancewplan?w-wans-✔✔writtenwpolicies/standardswofwconduct,wawcompliancewofficer/
committee,weffectivewtraining,wopenwlineswofwcommunication,wdisciplinarywguidelines,wa
uditing,wcorrectivewactionwplan

Whatwiswthewgeneralwpurposewofwawcompliancewplan?w-wans-
✔✔towcorrectwandwpreventwfraudwandwabusewandwallowwawlabwtowholdwandwmaintainwli
censewandwaccreditation(billingwforwserviceswthatwweren'twprovided)

WhatwarewCPTwcodeswandwwhatwarewtheirwpurpose?w-wans-
✔✔CurrentwProceduralwTerminology;wdescribeswservicewbeingworderedwandwprovidesw
standardizedwmonetarywvalue

Whowoverseeswthewday‐to‐daywcompliancewactivitieswofwthewlab?w-wans-
✔✔CCOw(chiefwcompliancewofficer)

Howwfrequentlywshouldwcompliancewtrainingwbewconducted?w-wans-
✔✔uponwemployment,watwleastwannually,wandwatwregularlywscheduledwtimes

Examplewofwdoublewbillingw-wans-
✔✔chargingwforwtestswthatwwerewcalculatedwusingwunderlyingwtestwresultsw(LDL,windic
es,etc)

Whatwconstituteswupwcoding?w-wans-
✔✔thewselectionwofwawcodewtowmaximizewreimbursementwwhenwsuchwcodewiswnotwthe
wmostwappropriatewdescriptorwofwthewservice


Whatwformswofwcommunicationwcanwbewusedwtowanonymouslywreportwsuspectedwmisc
onductwtowthewcompliancewofficer?w-wans-✔✔ethicsworwcompliancewhotline

WhatwiswthewmostwcommonwmethodwOIGwuseswtowmonitorwawlab'swenforcementwofwco
mpliancewregulations?w-wans-✔✔auditingwandwmonitoring

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