Domain 5 Flashcards
Compliance
1
Q
Fraud
A
a deliberate deception or misrepresentation of services that results in an unauthorized reimbursement
2
Q
Waste
A
Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act.
3
Q
FACTA
A
Fair and Accurate Credit Transactions Act
4
Q
CDI
A
clinical documentation improvement
5
Q
How many basic elements are included in an effective compliance program?
A
7 (policies, procedures, and standards of conduct; identifying a compliance officer and committee; educating staff; establish communication channels; perform internal monitoring; penalties for noncompliance with standards; and taking immediate corrective action when a problem is identified)
6
Q
A
