CPCO Test Prep Questions Bank | 455 Questions with 100% Correct Answers | Verified | Latest Update | 68 Pages

Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of operating the OIG hotline? - Office of Investigations What year did the GAO identify Medicare claims to be at high risk for fraud and abuse which resulted in the OIG initiating an audit of HCFA (CMS) payment system? - 1992 Which department of the OIG is responsible for providing mission and administrative support to the OIG? - Office of Management and Policy