Hcca Chc Exam Prep Study Guide Questions With 100% Correct Answers

Equal Employment Opportunity Commission {Ans: U.S. agency created to end discrimination based on race, religion, sex or national origin - they review and investigate charges of discrimination.}OSHA employee rights {Ans: request inspection, file complaint, have representation during inspection, training, informed of hazards, request corrective action}Abuse {Ans: intentional or unintentional practices that directly or indirectly result in unnecessary or increased costs specifically to Medicare or Medicaid}Evaluation and management Codes {Ans: Most common CPT codes used and represent the office visit/time spent codes. Category I. Require history, exam (review of symptoms), and medical decision making.}CMS-1500 form {Ans: Standard insurance form used by all government and most commercial insurance payers. Non-institutaional}Caremark International Derivative Litigation {Ans: settlement of Caremark international in which an imposed CIA precluded Caremark from providing health care in certain forms for 5 years. Suggests failure of corporate director to attempt in good faith to institute compliance and ethics program may be a breach of fiduciary obligation.}OCR (Office of Civil Rights) {Ans: Component of DHHS, teaches workers bout health information privacy, confidentiality laws, and investigates civil rights, health info privacy compliance, and then enforces those regulations (Civilly).}Retrospective Audit {Ans: An audit of historical