CDIP Domain 6 Compliance question n answers graded A+ 2023

CDIP Domain 6 ComplianceWho sets the official Guidelines for coding and reporting (ICD-10)? - correct answer American Hospital Associates (AHA) American Health information management association (AHIMA) National Center for Health Statistics (NCHS) Center for Medicare and Medicaid Services (CMS) AHA - correct answer Serves as a clearing house for issues related to use of ICD-10 codes services in representation and advocacy role on national classification and data issues publisher of the AHA coding Clinic (updated quarterly AHIMA - correct answer serves as a nonprofit association of health information professionals takes a lead in advancing health data and information management provides multiple resources NCHS - correct answer serves as World Health Organization (WHO) collaboration center for family of international classification of North America coordinates all official disease classifications activities in the US CMS - correct answer part of the US department of Health and Human Services (HHS) administers medicare and medicaid programs compares websites for healthcare data HAC - correct answer Hospital Acquired Conditions PSI - correct answer patient safety indicator Fraud and abuse - correct answer The intentional and mistaken misrepresentation of reimbursement claims submitted to government-sponsored health programs Federal False Claims Act - correct answer makes it an offense to submit a false claim to the government for payment of health care services Patient Protection and Affordable Care Act - correct answer health care reform law passed in 2010 that includes incentives and penalties for employers providing health insurance as a benefit Title XI of the social security activities - correct answer exclusion from the federal payer program if convicted of misconduct Compliance - correct answer the tendency to agree to do things requested by others HIPAA - correct answer The Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed. - 1996 DOJ - correct answer Department of Justice; one of the entities, along with the Office of Inspector General (OIG), that coordinates fraud and abuse control. OIG - correct answer Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Developed in 1976 focuses on high dollar fraud and abuse Annual Coding updates - correct answer CPT - on January 1st HCPCS Level 2 - on January 1st ICD-10-CM/PCS - On October First Coding Clinic - correct answer Published quarterly by the Central Office on ICD-9-CM Coding of the American Hospital Association-AHA providing office ICD-9 coding guidelines