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CPCO chapter 3 Questions and Verified Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook
Ans: All essential coding resources
Coders must have up-to-date resources to code correctly and send out
correct claims.
What can providers review that will help them understand the compliance
requirements of a clinical lab?
Laboratory Provider Handbook
OIG's Clinical Lab Guidance
OIG Developing an Effective Compliance Program
Physician Desk Reference
Ans: OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective
compliance and risk areas for laboratories.
Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide
extended skilled nursing or rehabilitative care. This care is reimbursed under
which Medicare part(s)?
A
B
C
Part A and Part B
Ans: Part A and Part B
They SNFs are typically reimbursed under Part A for the costs of most items
and services, including room, board, and ancillary items and services.
However, SNFs may also receive payment under Medicare Part B.
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How many states currently require nursing facilities to perform a background
check of state records for direct-access employees?
10
35
43
50
Ans: 43
Out of 50 states, 43 have mandated background check requirements for
individuals who have direct contact with SNF patient and/or their personal
possessions.
How many states require nursing facilities to perform a FBI checks on
employees?
3
5
10
27
Ans: 10
Out of 50 states, 10 states have mandated nursing homes perform an FBI
background checks on employees.
Which of the following should be reflected in a billing company's written policies
and procedures?
Current Federal statutes only
Current Federal and state statutes
Current regional and Federal statutes
Current state statutes only
Ans: Current Federal and state statutes
With respect to claims, a billing company's written policies and procedures
should reflect and reinforce current federal and state statutes.
What third party plays a critical role in accurate billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
CPCO chapter 3 Questions and Verified Answers
What should be readily accessible to all coding staff?
Billing certification
CPT™ codebook
All essential coding resources
Nursing handbook
Ans: All essential coding resources
Coders must have up-to-date resources to code correctly and send out
correct claims.
What can providers review that will help them understand the compliance
requirements of a clinical lab?
Laboratory Provider Handbook
OIG's Clinical Lab Guidance
OIG Developing an Effective Compliance Program
Physician Desk Reference
Ans: OIG's Clinical Lab Guidance
The OIG Clinical Lab Guidance provides pertinent information on effective
compliance and risk areas for laboratories.
Skilled Nursing Facilities (SNFs) are Medicare certified facilities that provide
extended skilled nursing or rehabilitative care. This care is reimbursed under
which Medicare part(s)?
A
B
C
Part A and Part B
Ans: Part A and Part B
They SNFs are typically reimbursed under Part A for the costs of most items
and services, including room, board, and ancillary items and services.
However, SNFs may also receive payment under Medicare Part B.
, Page | 2
How many states currently require nursing facilities to perform a background
check of state records for direct-access employees?
10
35
43
50
Ans: 43
Out of 50 states, 43 have mandated background check requirements for
individuals who have direct contact with SNF patient and/or their personal
possessions.
How many states require nursing facilities to perform a FBI checks on
employees?
3
5
10
27
Ans: 10
Out of 50 states, 10 states have mandated nursing homes perform an FBI
background checks on employees.
Which of the following should be reflected in a billing company's written policies
and procedures?
Current Federal statutes only
Current Federal and state statutes
Current regional and Federal statutes
Current state statutes only
Ans: Current Federal and state statutes
With respect to claims, a billing company's written policies and procedures
should reflect and reinforce current federal and state statutes.
What third party plays a critical role in accurate billing and reimbursement?
Billing agencies
Laboratories
Nursing facilities
