What puts in danger the effectiveness of a compliance program? - ANSWER Outdated
policies (CPG line 262)
What is the term for the practice of submitting bills piecemeal or in a fragmented fashion to
maximize reimbursement?
a. Over-coding
b. DRG Creep
c. Unbundling
d. Fraud - ANSWER c. Unbundling (CPG line 236)
Which 2 governmental agencies oversee Medicare and Medicaid violations?
a. OIG
b. OCR
c. DOJ
d. A and C
e. B and C - ANSWER d. A and C (CPG line 796, reference 56)
How long does a covered entity have to report misconduct which has violated criminal, civil,
or administrative law?
1