COMPLETE QUESTIONS AND 100%
CORRECT ANSWERS 2025 NEW UPDATE.
What is the OIG (Office of Inspector General) and when was it established?
ANSWER: The OIG was established by the Department of Labor through the Inspector General
Act of 1978 to identify fraud and abuse in Medicare Part A and Part B programs.
What is a MAC (Medicare Administrative Contractor) and what is its role?
ANSWER:A MAC is used by the OIG to process claims for services rendered under Medicare.
What are the criteria for high-quality documentation?
ANSWER:
High-quality documentation should be:
Legible
Reliable
Precise
Complete
Consistent
Clear
Timely
What is EBM (Evidence-Based Medicine)?
ANSWER:EBM refers to using the best available scientific data for clinical documentation.
Where is the two-part theory for high-quality clinical documentation derived from?
ANSWER: The two-part theory for high-quality clinical documentation comes from
legal/regulatory sources and peer-reviewed research.
What are the four standards used in Evidence-Based Medicine (EBM)?