The increased demand for medical billers, medical office assistants, and medical coders can be attributed to:
a. the growth of managed care.
b. physician practices' having more responsibility for filing claims.
c. the need for additional staff to file claims and work to obtain timely payment.
d. all of the above.
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Q. 2) Which of the following are to be included in a voluntary disclosure statement?
a. Name, address, provider number, and position of the claims examiner
b. Knowledge of any current government interference into the organization's practices
c. Partial description of matter being reported
d. Description of parties involved in the potentially fraudulent activity
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Q. 3) What is self-disclosure protocol?
a. Letting employees know when not to report fraudulent or abusive practices
b. Letting employees know how to report fraud
c. Letting employees know when to admit to overtime fraud
d. Letting employees know it is important to report fraudulent or abusive practices
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Q. 4) Which of the following is NOT a part of a compliance plan?
a. Compliance education plan
b. Self-disclosure education
c. Agreement to follow corrective actions
d. Pay for the cost of auditing
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Q. 5) Which of the following is a component of post-audit compliance education?
a. The findings of the audit
b. The misidentified systemic problems
c. A sampling of RACs
d. Fraud and abuse samples of the Medicare and Medicaid program
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Q. 6) What happens if compliance isn't attained?
a. The organization will be issued a noncompliance certificate.
b. There are immediate corrective actions taken under the auditor's authority.
c. The organization will be closed until compliance is attained.
d. The organization will be audited for the next 10 years.
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Q. 7) The purpose of auditing the findings is to answer all of the following EXCEPT:
a. Are the findings valid?
b. Is there any missing information that can be provided to clarify the audit?
c. Are there similar problems in nonaudited claims?
d. What similar problems exist elsewhere?
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Q. 8) What is an RAC?
a. A Recovery Audit Commissioner
b. Government-contracted auditors with the task of finding and stopping Medicare fraud
c. A common accounting error causing the need for repayment
d. A major focus of claims management
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Q. 9) Corporate Integrity Agreements typically consist of which of the following?
a. Ten years or more of monitored compliance
b. Development of compliance standards including a confidential disclosure program
c. Internal independent annual reviews of compliance
d. Restriction of employment of eligible persons
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Q. 10) Which of the following is a requirement to be a Medicaid Fraud Control Unit?
a. Be solely nationally funded
b. Be established before 1965
c. Be an independent state-level organization
d. Be composed of a cross-disciplinary team
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