CPCO chapter 3 - Exam Questions With
Correct Answers
What |should |be |readily |accessible |to |all |coding |staff?
Billing |certification
CPT™ |codebook
All |essential |coding |resources
Nursing |handbook |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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.
How |many |states |currently |require |nursing |facilities |to |perform |a |background |check |of |state |
records |for |direct-access |employees?
10
35
43
50 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-Current |Federal |and |state |statutes
Correct Answers
What |should |be |readily |accessible |to |all |coding |staff?
Billing |certification
CPT™ |codebook
All |essential |coding |resources
Nursing |handbook |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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.
How |many |states |currently |require |nursing |facilities |to |perform |a |background |check |of |state |
records |for |direct-access |employees?
10
35
43
50 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |ANSWER✔✔-Current |Federal |and |state |statutes
