CCA Exam Prep - Compliance 2023 with 100% correct answers

Performance counseling usually begins with which of the following? a. Submitting an action plan of steps the employee will do to resolve the issue and improve performance b. Job termination c. Informal counseling or verbal warning d. Put the coder on unpaid leave of absence c. Informal counseling or verbal warning What is the incentive to improve the quality of clinical outcomes using the electronic health record that could result in additional reimbursement or eligibility for grants or other subsidies to support further HIT efforts? a. Pay for performance and quality b. Patient referrals c. Payer of last resort d. Performance evaluations a. Pay for performance and quality An effective compliance program should include some basic elements to comply with state and federal laws. These include policies, procedures and standards of conduct; the identification of a compliance officer and committee; education of staff; establishment of communication channels; performance of internal monitoring; corrective action when a problem is identified; and ________: a. Clinical documentation strategies b. Penalties for non-compliance of standards c. Improving the accuracy of health claims d. External audits b. Penalties for non-compliance of standards Statements that define the performance expectations and structures or processes that must be in place are ________. a. Rules b. Policies c. Guidelines d. Standards d. Standards The Office of Inspector General's (OIG's) strategic plan includes four goals: a. Reduce risk, prevent criminal conduct, enforce laws and maintain ethics in health care. b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future innovations in healthcare. c. Prevent criminal conduct; promulgate quality and safety; educate medical staff; and oversee disciplinary actions. d. Promote quality and safety, education for patients and clinical staff and advance pharmaceuticals' best use. b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future innovations in healthcare. Which of the following is an example of a unique identifier for an individual heath record to ensure that the information in the record is not misplaced, lost, or confused with information for another person each time a patient visits a facility? a. Account number b. Health record number c. Admission date d. Discharge date b. Health record number