A compliance program in a physician's office should include a process for conducting internal monitoring and auditing of claims.
Indicate whether this statement is true or false.
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Q. 2) Medicare requires that all physician offices have a seven-part compliance plan in place.
Indicate whether this statement is true or false.
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Q. 3) An advisory opinion from the CMS or OIG is considered legal advice on any question regarding healthcare business.
Indicate whether this statement is true or false.
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Q. 4) When two or more codes can be combined and billed as a single code, they are referred to as mutually exclusive.
Indicate whether this statement is true or false.
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Q. 5) Medicare's policy on proper and accurate coding is called the National Correct Coding Initiative (NCCI).
Indicate whether this statement is true or false.
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Q. 6) If a person pretends to be a physician and treats patients without a valid medical license, it is considered abuse.
Indicate whether this statement is true or false.
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Q. 7) Those found guilty of medical fraud can receive jail sentences as well as fines.
Indicate whether this statement is true or false.
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Q. 8) The best way to be sure that an intended action will NOT be subject to investigation as fraud is to:
base the decision on past practices.
obtain an advisory opinion from the Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS).
submit the claim, and request an explanation if denied.
get the advice of an attorney.
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Q. 9) A compliance plan for a physician's office is:
not mandatory but suggested.
now mandatory.
required by 2015.
not necessary or practical.
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Q. 10) Abuse against Medicare is considered illegal because taxpayer dollars have been misspent.
Indicate whether this statement is true or false.
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