COC - Chapter 5 questions with
complete solutions A+ rated
What are excepted benefits?
a. and c
3 multiple choice options
Which is NOT an element of an effective compliance plan based on the OIG's guidance for
hospitals?
Certify all coders
3 multiple choice options
DGME payments are NOT based on which of the following?
Additional costs to the facility associated with having a teaching program, such as lower
productivity, more tests, etc.
3 multiple choice options
A surgeon is supervising two residents in two adjoining outpatient procedure rooms. One
patient has the removal of a soft tissue tumor of the shoulder. The surgeon left after the
removal while the resident performed the repair. The surgeon then supervised another
resident. The resident had prepped the patient for surgery. The surgeon was present for the
repair of an inguinal hernia and left before the closure was complete. What procedures are
billed by the surgeon?
The excision of the soft tissue tumor removal and the hernia repair.
, 3 multiple choice options
Which law was developed to deter inducements or rewards for sending business between a
provider and a hospital, a provider and a DME supplier, or a provider to provider situation?
Stark Law
3 multiple choice options
A teaching physician is supervising a resident performing a colonoscopy. The teaching physician
was called out of the colonoscopy suite for an emergency just prior to the removal of the
endoscope. The colonoscopy (45378) was basically finished. What should you code?
No services are billed.
3 multiple choice options
What organization enforces the HIPAA Privacy Rule?
The Office for Civil Rights (OCR)
3 multiple choice options
What is Medicare's definition of a teaching hospital?
A hospital engaged in an approved GME residency program in medicine, osteopathy, dentistry,
or podiatry
3 multiple choice options
complete solutions A+ rated
What are excepted benefits?
a. and c
3 multiple choice options
Which is NOT an element of an effective compliance plan based on the OIG's guidance for
hospitals?
Certify all coders
3 multiple choice options
DGME payments are NOT based on which of the following?
Additional costs to the facility associated with having a teaching program, such as lower
productivity, more tests, etc.
3 multiple choice options
A surgeon is supervising two residents in two adjoining outpatient procedure rooms. One
patient has the removal of a soft tissue tumor of the shoulder. The surgeon left after the
removal while the resident performed the repair. The surgeon then supervised another
resident. The resident had prepped the patient for surgery. The surgeon was present for the
repair of an inguinal hernia and left before the closure was complete. What procedures are
billed by the surgeon?
The excision of the soft tissue tumor removal and the hernia repair.
, 3 multiple choice options
Which law was developed to deter inducements or rewards for sending business between a
provider and a hospital, a provider and a DME supplier, or a provider to provider situation?
Stark Law
3 multiple choice options
A teaching physician is supervising a resident performing a colonoscopy. The teaching physician
was called out of the colonoscopy suite for an emergency just prior to the removal of the
endoscope. The colonoscopy (45378) was basically finished. What should you code?
No services are billed.
3 multiple choice options
What organization enforces the HIPAA Privacy Rule?
The Office for Civil Rights (OCR)
3 multiple choice options
What is Medicare's definition of a teaching hospital?
A hospital engaged in an approved GME residency program in medicine, osteopathy, dentistry,
or podiatry
3 multiple choice options
