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CHC (Auditing & Monitoring ) Latest Exam Questions and Correct Answers rated A+

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Health Care Financing Administration (HCFA) encouraged one of the following to promote consistency in interpretation of claims? a. Education b. Reporting c. Discipline d. Statistical sampling - ANSWER-d. Statistical sampling See HCFA Ruling No. 86-1 (Feb. 20, 1986). Your job is to submit risk diagnosis to CMS for purposes of payment. As part of this job you are to verify, through a certain process, that the data is accurate. Your immediate supervisor tells you to ignore the sponsor's process and to adjust/add risk diagnosis codes for certain individuals. What do you do? A. Do what is a

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