Question

31.       Are provider chart reviews a common component of a compliance plan which meets OIG recommendations?

32.       What is the False Claims Act?

33.       Are provider urine screenings a common component of a compliance plan which meets OIG recommendations?

34.       Identify at least two government services which foster and support provider compliance?

35.       What federal law designated that the states have primary authority to regulate the “business of insurance”?

36.       Identify three features from the Affordable Care Act which addressed the scope of insurance coverage?

37.       True or false (circle one): the Affordable Care Act provides for universal coverage of all healthcare expenses through one single government payer?

38.       Identify at least one component of the Affordable Care Act health insurance coverage?

39.       Identify three primary advantages for a health care system to obtain and maintain tax-exempt status?

40.       Regarding maintenance of tax exempt status, which test is easier to pass - the “operational test” or the “organizational test”? Explain your answer.

41.       In reviewing the law, I noticed that “healthcare” is not among the expressly identified exempt purposes. As that is the case, how do healthcare systems meet the exempt purpose requirements? Explain your answer.

Answer 1

31, physician practice chart includes compliance program which includes compliance OIG recommendation in preventing submissions of erroneous claims or engaging in unlawful conduct under federal health - care program,developing program,chart review etc..

32, False claim Act is a federal law that makes crime for any individual or organization making false record or documents.

33, Urine screening must be ordered by Physician who is providing treatment for beneficiary..

34, - out of home care services

- support services for parents and families..