CPMA Correct Questions & Answers

Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training and education. c. Identifying employees on the exclusions list. d. Developing effective lines of communication. - ANSWER c. Identifying employees on the exclusions list. The OIG's Compliance Program Guidance for Individual and Small Physician Group Practices identifies four risk areas affecting physician practices. What are the four risk areas? - ANSWER Coding and billing; reasonable and necessary services; documentation; and improper inducements, kickbacks, and self-referrals. What does the MUE table tell? - ANSWER maximum number of units a procedure can be reported on the same date of service