ACCURATE SOLUTIONS
Organizations receiving more than $5 million in Medicaid funds
must provide education on the False Claims Act (FCA) in
accordance with the:
a. Stark Laws
b. Deficit Reduction Act (DRA)
c. Anti-Kickback (AKS) Law
d. Sherman Antitrust Law - Precise Answer ✔✔b. Deficit
Reduction Act (DRA)
An Organization identifies a potential issue when reviewing
personal services and management contracts. Which of the
following should the compliance professional consider in
analyzing the issue?
a. Deficit Reduction Act (DRA)
b. Conditions of Participation (CoP)
c. IRS tax-exempt guidelines
d. Anti-Kickback (AKS) Safe Harbors - Precise Answer ✔✔d.
Anti-Kickback (AKS) Safe Harbors
, A hotline caller states the coding department was instructed to
code based on LCD requirements regardless of medical record
information. Which of the following should be the compliance
professional's FIRST action?
a. direct the coding supervisor to follow the applicable policy
b. incorporate the coding issue into next year's risk assessment
c. design a review to find facts and circumstances related to the
compliant
d. engage outside counsel to protect the underlying facts from
discovery - Precise Answer ✔✔c. design a review to find facts
and circumstances related to the compliant
In development of the annual work plan, physician contract
compliance was prioritized as a high-risk area. When the
compliance professional followed up with management, it
appeared that the monitoring identified for this area was never
put into place. Which of the following should be the compliance
professional's FIRST step?
a. Develop a corrective action plan
b. Identify a statistically valid sample
c. Conduct a probe sample
d. Notify legal counsel - Precise Answer ✔✔c. Conduct a probe
sample