ANSWERS SURE A+
✔✔All of the following are part of an effective compliance program except:
A. Performing internal audits
B. Creating standards of privacy
C. Establishing standards, procedures and policies - ✔✔B: Creating standards of
privacy
✔✔EMTALA is a regulation which protects patient from what?
A. Not being treating in an emergency due to lack of ability to pay
B. Receiving prescription medication at the time of discharge
C. Completing all their paperwork - ✔✔A: Not being treating in an emergency due to
lack of ability to pay.
✔✔All of the following are examples of PHI except:
A. Patient names
B. Computer IP addresses
C. Financial assistance brochure - ✔✔C: Financial assistance brochure
✔✔Meaningful Use is an incentive program to:
A. Increase the adoption of qualified electronic health records
B. Reduce the cost of care to the patients
C. Increase the adoption of qualified paper documentation - ✔✔A: Increase the
adoption of qualified electronic health records
✔✔This document is provided to Medicare beneficiaries who are admitted as
outpatients receiving observation status that they may have a co-payment and co-
insurance.
A. MOON
B. IMM
C. ABN - ✔✔A: MOON
, ✔✔All of the following are examples of fraud and abuse except:
A. Billing for services not rendered
B. Unbundling
C. Unknowingly billing for services at a higher complexity - ✔✔C: Unknowingly billing for
services at a higher complexity
✔✔Which government healthcare program is provided for surviving spouses of veterans
killed in the line of duty?
A. Tricare
B. CHAMPVA
C. Veterans Choice - ✔✔B: CHAMPVA
✔✔Tricare provides healthcare to all of the following except:
A. Uniformed service members and families
B. Survivors
C. Civilians working in a military treatment facility
D. Medal of Honor recipients - ✔✔C: Civilians working in a military treatment facility
✔✔When a veteran's local VA healthcare center cannot provide service in a timely
manner, this program allows the veteran to seek care from the community.
A. Veterans Choice
B. Tricare for Life
C. CHAMPUS - ✔✔A: Veterans Choice
✔✔Medicare is not considered primary payer in all of the scenarios below except:
A. Medicare patient has ESRD and is in their 60 month of dialysis
B. Medicare patient is over 65 and carries a GHP through their current employer with
over 300 employees
C. Medicare patient was in an auto accident and has liability insurance - ✔✔A: Medicare
patient has ESRD and is in their 60 month of dialysis.
✔✔The MSP requires that we ask pertinent questions to determine what?
A. If Medicare is the primary source to pay for services
B. If there are other sources of payment primary to Medicare
C. If the individual has no insurance. - ✔✔B: If there are other sources of payment
primary to Medicare
✔✔What is the form given to Medicare beneficiaries informing them of potential non-
coverage of out-patient services?
A. MAC form
B. MOON
C. ABN - ✔✔C: ABN