HCCA CHC Exam Prep (2025)
ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED
ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2025 TEST!!
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Terms in this set (75)
, The Omnibus Budget Reconciliation
Act bans physicians from referring
patients to receive "designated
health services" to any entity with
Stark or which the physician has a financial
Physician Self- relationship. Designated health
Referral Law services include lab testing, imaging
services, physical or occupational
therapy, etc. (civil only,
medicare/medicaid only, strict
liability)
Prohibits the solicitation, receiving,
offering, or paying any remuneration
directly or indirectly in cash or in
kind in exchange. Essentially it
Anti-Kickback prohibits the exchange of anything
Statute (AKS) of value in exchange for or in an
effort to gain the referral of business
reimbursable by federal healthcare
programs. (intent, any federal
program, civil or criminal)
, Requires that detailed information
about payments or other "transfers
Physician of value" worth over $10 from
Payments manufacturers of drugs, medical
Sunshine Act devices and biologics to physicians
(PPSA) and teaching hospitals be made
available to the public. (Open
payment data).
A Federal law that grants states the
ability to modify their Medicaid
programs. This allows individual
Deficit
states to reform their Medicaid
Reduction Act
programs to fit with the present
health care environment while
maintaining federal guidelines.
Originally adopted byt U.S.
Congress to discourage suppliers
from overcharging the government,
False Claims Act it is now legislation that prohibits
anyone from knowingly submitting
or causing to be submitted a false or
fraudulent claim. DOJ.
ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED
ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2025 TEST!!
Save
Terms in this set (75)
, The Omnibus Budget Reconciliation
Act bans physicians from referring
patients to receive "designated
health services" to any entity with
Stark or which the physician has a financial
Physician Self- relationship. Designated health
Referral Law services include lab testing, imaging
services, physical or occupational
therapy, etc. (civil only,
medicare/medicaid only, strict
liability)
Prohibits the solicitation, receiving,
offering, or paying any remuneration
directly or indirectly in cash or in
kind in exchange. Essentially it
Anti-Kickback prohibits the exchange of anything
Statute (AKS) of value in exchange for or in an
effort to gain the referral of business
reimbursable by federal healthcare
programs. (intent, any federal
program, civil or criminal)
, Requires that detailed information
about payments or other "transfers
Physician of value" worth over $10 from
Payments manufacturers of drugs, medical
Sunshine Act devices and biologics to physicians
(PPSA) and teaching hospitals be made
available to the public. (Open
payment data).
A Federal law that grants states the
ability to modify their Medicaid
programs. This allows individual
Deficit
states to reform their Medicaid
Reduction Act
programs to fit with the present
health care environment while
maintaining federal guidelines.
Originally adopted byt U.S.
Congress to discourage suppliers
from overcharging the government,
False Claims Act it is now legislation that prohibits
anyone from knowingly submitting
or causing to be submitted a false or
fraudulent claim. DOJ.
