Compliance Program Effectiveness: Auditing and Monitoring
Compliance Program Effectiveness Quiz
Test your knowledge on compliance program effectiveness with our engaging quiz! This quiz will challenge you on various aspects of auditing and monitoring in healthcare compliance.
- 10 multiple-choice questions
- Understand OIG guidelines
- Improve your compliance knowledge
What is one of the seven critical elements of the compliance program according to the OIG?
Ongoing auditing and monitoring
Disregard all policies mandated by OIG
Optional training and education of staff
Audit only incorrect claims
What is a condition of enrollement if a provider wants to participate with Medicare, Medicaid or Children's Health Insurance
Have a minumum of 25 providers
Compliance Program
Provider care for Medicare, Medicaid patients
Bill the patient directly
What is the recommeded least number of audits within a year?
4
3
2
1
According to Pam, an internal auditor should be used becuase the auditor already knows the provider's documentation.
True
False
Monotoring is an __________ ______________ control within a process
Effective detective
Defective detective
Detection detective
Offensive detection
How to measure accessibility of recording system?
Ignoring any surveys
Involving employees and managers and asking if system is available in languages spoke in organization.
Making up data
Ask only employees if they understand the system
Which is NOT a way to measure the Adherence to the 60-day overpayment rule
Review incident tracker
Ensure days to open or days to close do not exceed that timeframe
Status benchmarks specific day to completion.
Track efforts to identify
Allow payment to be late
Benefits of Independent Monitoring
Expensive, Time-Saving, Objectivity
Time-Saving, Cost-Effective, Objectivity
Time-Consuming, Cheap, Biased
Time-Saving, Cost-Effective, Subjectivity
What and when does the OIG provide that gives practices a heads up?
Money, May
Rules, December
Updates, January
Guidelines, September
What is one of the biggest challeges in health care?
Chart Audits
Not enough providers
IT
Insurance Fraud
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