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  • Chapter 1: Compliance and Regulatory Guidelines Flashcards
    When an IRO is completing a CIA Discovery Sample, how many sampling units are reviewed? A 10 B 50 C 100 D 200 Answer: B 50 Rationale: A Discovery Sample in a CIA is 50 sampling units
  • CPMA Flashcards - Quizlet
    Study with Quizlet and memorize flashcards containing terms like What regulation is the penalty for violating the False Claims Act (FCA) increased by?, When an IRO is completing a CIA Discovery Sample, how many sampling units are reviewed?, You audit a provider who is consistently reporting multiple units of CPT code 11042
  • Corporate Integrity Agreement FAQs | Office of Inspector General . . .
    For CIAs that require a discovery sample, there is no set number of claims that the IRO is required to examine in the full sample In these CIAs, the full sample size is based on the mean and standard deviation of the overpayment amount as calculated in the discovery sample, and the full sample must include a sufficient number of paid claims to
  • CPMA Questions with Correct Answers Graded A+ - Stuvia US
    When a IRO is completing a CIA Discovery Sample, how many sampling units are reviewed? A 200 B 100 C 50 D 10 C 50
  • Corporate Integrity Agreement - SEC. gov
    Discovery Sample The IRO shall randomly select and review a sample of 50 Units (each unit shall consist of the file of a unique Medicare beneficiary as it represents a paid claim for services submitted under the Home Health Prospective Payment System) The claims shall be reviewed based on the supporting documentation
  • Healthcare Compliance Quiz: 156 Questions with Verified . . . - Docsity
    Yes; the CIA will identify five IRO's that can be used for the CIA c no, the OIG does not have any input on the IRO used under any circumstance d No; the OIG does not specify the IRO to be used, but does retain the right to notify the provider if they must select a new IRO
  • CPMA Exam Preparation - AAPC
    –Typical CIA agreement is five years –Provide and implement audit annually –Reports provided to the OIG of compliance activities –IA’s require an IRO perform audits – Annual audits – Results to compliance officer of the CIA Compliance and Regulatory Control •CIA Audit –Discovery sample of 50 units –Used to determine full
  • CPMA Flashcards - Quizlet
    When an IRO is completing a CIA Discovery Sample, how many sampling units are reviewed? The OIG lists potential risk areas for individual and small physician groups on the compliance plan guide Which option below is listed as a risk area? What does the MUE table indicate? c
  • Using a Probe Sample for Healthcare Audits and CIA Claims Reviews
    Use of a Probe Sample or Discovery Sample for Healthcare Audits, Self-Disclosure and CIA Claims Reviews Ensure statistically valid findings using a probe sample





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