CDIP Domain 6 Compliance Questions and Answers 100% Correct(RATED A+)

Who sets the official Guidelines for coding and reporting (ICD-10)? - ANSWER-American Hospital Associates (AHA) American Health information management association (AHIMA) National Center for Health Statistics (NCHS) Center for Medicare and Medicaid Services (CMS) AHA - ANSWER-Serves as a clearing house for issues related to use of ICD-10 codes services in representation and advocacy role on national classification and data issues publisher of the AHA coding Clinic (updated quarterly AHIMA - ANSWER-serves as a nonprofit association of health information professionals takes a lead in advancing health data and information management provides multiple resources NCHS - ANSWER-serves as World Health Organization (WHO) collaboration center for family of international classification of North America coordinates all official disease classifications activities in the US CMS - ANSWER-part of the US department of Health and Human Services (HHS) administers medicare and medicaid programs compares websites for healthcare data HAC - ANSWER-Hospital Acquired Conditions PSI - ANSWER-patient safety indicator Fraud and abuse - ANSWER-The intentional and mistaken misrepresentation of reimbursement claims submitted to government-sponsored health programs Federal False Claims Act - ANSWER-makes it an offense to submit a false claim to the government for payment of health care services Patient Protection and Affordable Care Act - ANSWER-health care reform law passed in 2010 that includes incentives and penalties for employers providing health insurance as a benefit Title XI of the social security activities - ANSWER-exclusion from the federal payer program if convicted of misconduct Compliance - ANSWER-the tendency to agree to do things requested by others HIPAA - ANSWER-The Health Insurance Portability and Accountability Act, a federal law