HIMT 2460 DOMAIN V-COMPLIANCE | QUESTIONS AND ANSWERS | 2026 UPDATE | 100%
CORRECT
A good question for a supervisor of coding to ask when evaluating potential fraud or abuse risk areas
in the coding area is ______.
a. Are the assigned codes supported by the health record documentation?
b. Does the hospital have a compliance plan?
c. How many claims have not been coded?
d. Which members of the medical staff have the most admissions to the hospital? - (ANSWER)a. Are
the assigned codes supported by the health record documentation?
A healthcare provider is accused of healthcare fraud and abuse for 32 incidents in which they
unbundled a chare resulting in an incorrect overpayment of $45 for each incident. the provider must
pay back $1440 in overpayment. Calculate the penalty payment.
a. $4,320
b. $362,112
c. $64,000
d. $324,320 - (ANSWER)b. $362,112
A provider that intentionally fails to comply with or is acting with indifference to the HIPAA law is
considered to be engaging in _________.
a. Fraud
b. Willful neglect
c. Abuse
d. Unreasonable diligence - (ANSWER)b. Willful neglect
A study conducted by AHIMA found that credentialed coders who used a CAC were able to reduce the
amount of time it took to code a record by _______.
a. 50 percent
b. 22 percent
c. 30 percent
d. 40 percent - (ANSWER)b. 22 percent
, HIMT 2460 DOMAIN V-COMPLIANCE | QUESTIONS AND ANSWERS | 2026 UPDATE | 100%
CORRECT
ADR's are sent to healthcare provider on a ____________ day cycle
a. 30
b. 45
c. 60
d. 90 - (ANSWER)b. 45
An example of fraud is ________.
a. A pattern of coding errors such as upcoding or unbundling
b. Charging excessively for services or treatments
c. Billing for unnecessary services or treatments
d. Directing others to falsely document or bill - (ANSWER)d. Directing others to falsely document or
bill
An example of waste is _________________.
a. Shortage of supplies
b. Ordering more ancillary tests than may be required
c. Patients moved in efficient manner
d. Employees are engaged and supported - (ANSWER)b. Ordering more ancillary tests than may be
required
Audit planning includes __________.
a. Identification of the audit requestor
b. What company you are going to hire
c. Deficiency of audit activities
d. Past efforts - (ANSWER)a. Identification of the audit requestor
Before an audit can be conducted, and organization must first ________.
a. Select the sample size of the audit
CORRECT
A good question for a supervisor of coding to ask when evaluating potential fraud or abuse risk areas
in the coding area is ______.
a. Are the assigned codes supported by the health record documentation?
b. Does the hospital have a compliance plan?
c. How many claims have not been coded?
d. Which members of the medical staff have the most admissions to the hospital? - (ANSWER)a. Are
the assigned codes supported by the health record documentation?
A healthcare provider is accused of healthcare fraud and abuse for 32 incidents in which they
unbundled a chare resulting in an incorrect overpayment of $45 for each incident. the provider must
pay back $1440 in overpayment. Calculate the penalty payment.
a. $4,320
b. $362,112
c. $64,000
d. $324,320 - (ANSWER)b. $362,112
A provider that intentionally fails to comply with or is acting with indifference to the HIPAA law is
considered to be engaging in _________.
a. Fraud
b. Willful neglect
c. Abuse
d. Unreasonable diligence - (ANSWER)b. Willful neglect
A study conducted by AHIMA found that credentialed coders who used a CAC were able to reduce the
amount of time it took to code a record by _______.
a. 50 percent
b. 22 percent
c. 30 percent
d. 40 percent - (ANSWER)b. 22 percent
, HIMT 2460 DOMAIN V-COMPLIANCE | QUESTIONS AND ANSWERS | 2026 UPDATE | 100%
CORRECT
ADR's are sent to healthcare provider on a ____________ day cycle
a. 30
b. 45
c. 60
d. 90 - (ANSWER)b. 45
An example of fraud is ________.
a. A pattern of coding errors such as upcoding or unbundling
b. Charging excessively for services or treatments
c. Billing for unnecessary services or treatments
d. Directing others to falsely document or bill - (ANSWER)d. Directing others to falsely document or
bill
An example of waste is _________________.
a. Shortage of supplies
b. Ordering more ancillary tests than may be required
c. Patients moved in efficient manner
d. Employees are engaged and supported - (ANSWER)b. Ordering more ancillary tests than may be
required
Audit planning includes __________.
a. Identification of the audit requestor
b. What company you are going to hire
c. Deficiency of audit activities
d. Past efforts - (ANSWER)a. Identification of the audit requestor
Before an audit can be conducted, and organization must first ________.
a. Select the sample size of the audit
