Oig Study guides, Class notes & Summaries
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CPCS - Certified Provider Credentialing Specialist Exam Study Questions 2022 96 Questions with 100% Correct Answers – COMPLETE SOLUTION
- Exam (elaborations) • 9 pages • 2023
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Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - 
Yes 
According to TJC, who may amend the medical staff bylaws? - Governing body/board. 
Failure to meet the established qualifications and criteria for appointment should be reported to whom? 
- The applicant 
NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years 
According to the NCQA what policy must an organization have in place to obtain approval to...
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HFMA CRCR exam 2024 with 100% correct answers
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HFMA CRCR exam 2024 with 100% correct answers
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CPCO EXAM 2024 WITH 100% CORRECT ANSWERS
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CPCO EXAM 2024 WITH 100% CORRECT ANSWERS 
 
 
Does Medicare pay for all tests ordered by Providers? - correct answer 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? - correct answer Regularly 
 
According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - correct answer To receive a denial so a claim can be submit...
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CPCS - Certified Provider Credentialing Specialist 96 Questions And Answers
- Exam (elaborations) • 10 pages • 2023
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Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - ️️Yes 
 
According to TJC, who may amend the medical staff bylaws? - ️️Governing body/board. 
 
Failure to meet the established qualifications and criteria for appointment should be reported to whom? - ️️The applicant 
 
NCQA requires the MCO to obtain a minimum of how may years of work history? - ️️Five years 
 
According to the NCQA what policy must an organization have ...
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CPCO prep Questions with Correct Answers
- Exam (elaborations) • 47 pages • 2023
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CPCO prep Questions with Correct Answers 
Does Medicare pay for all tests ordered by Providers? - Correct Answer 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? - Correct Answer Regularly 
 
According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - Correct Answer To receive a denial so a claim can be submitted t...
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Anatomy, Physiology, & Disease, 3rd Edition by Roiger Test Bank
- Other • 485 pages • 2023
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Anatomy, Physiology, & Disease, 3rd Edition by Roiger Test Bank
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CPMA EXAM QUESTIONS AND ANSWERS
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When non-compliance is identified, what does the OIG recommended? 
 
a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. 
 
b. Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. 
 
c. Immediately terminate employment for the party found in non-complia...
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CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+
- Exam (elaborations) • 51 pages • 2024
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CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest 
Update 2024 | Rated A+ 
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...
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CPCO Exam Prep | 455 Questions with 100% Correct Answers | Verified | Latest Update 2024 | 46 Pages
- Exam (elaborations) • 46 pages • 2023
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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...
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CPMA EXAM QUESTIONS AND ANSWERS
- Exam (elaborations) • 31 pages • 2023
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The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? 
 
A. The patient's ability to read, method of learning and understanding. 
 
B. Any language or physical disabilities. 
 
C. Cultural beliefs. 
 
D. All the above - Answer- D. All the above 
 
Report copies and printouts, films, scans, and other radio logic service im...
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