CBCS rules and regulations
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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What does the OIG release annually and identifies areas they will focus on for review and investigations they believe are the most vulnerable programs for possible fraud/abuse? | show 🗑
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show | physicians can't refer patients to practitioners with whom they have a financial relationship. This law is considered the "self referral" law, also prohibits the referred practitioner form presenting claims to Medicare
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show | Two procedure codes which cannot reasonably be performed together based on code definitions or anatomical sites
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Which law prohibits individuals or entities from knowingly and willfully offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid or any other federally funded program? | show 🗑
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Medicare coverage is limited to items and services that are reasonable and necessary for the diagnosis or treatment of an illness or injury. These guidelines describes what will or will not be covered. | show 🗑
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These services are performed by a non-physician practitioner, can be billed to Medicare under the physicians NPI number. The supervising physician must be present in the office and supervise the non-physician practitioner. | show 🗑
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show | CLIA
note:Offices must apply for this license and keep current accurate logs of tests performed.
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What is the name of a proactive program that ensures fulfilment with all applicable policies, procedures, laws and regulations. | show 🗑
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show | d. all of the above
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What are Fiscal Intermediaries? | show 🗑
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