Administrative Skills Assessment Welcome to your Administrative Skills Assessment Take this quick assessment to see if the Practice Mechanics administrative skills training will help you run your practice! Which of the following is true about an effective healthcare practice compliance program:It must be an ongoing processIt must become a part of the fabric of the operation of the practiceIt shows a commitment to an ethical way of conducting the business of the practiceIt is a values-based system for doing the right thingAll the above The Office of the Inspector General (OIG) lists the benefits of an effective compliance program as including all the following except:Demonstrates to your employees and your community your commitment to good corporate conductIdentifies and prevents potential criminal and/or unethical activityDemonstrates the value of your services to the communityImproves the quality of patient careReduces your practice’s exposure to civil damages and penalties, and criminal sanctions The most valuable defense against a negative payer audit is typicallyClear, concise, and appropriately detailed daily notesThe provider having numerous certificationsProof of consistently exceeding required continuing education hoursWithholding billing and payment records without subpoena Most payer audits, whether concurrent or post-payment, are generally investigating the provider’s record to determineWhether the patient was charged more than the contracted amountWhether the provider’s diagnosis changed as the patient improvedWhether there’s a clear consistency between documentation, diagnosis, and treatment rendered/billedWhether evidence-based treatment was rendered to the patient Proper informed consent should include all the following exceptDescription of the patient’s problem(s) they will be treated forRisks associated with treatmentRisks associated with not being treatedA verbal discussion and documentation of suchClear self-care instructions and physical activity limits “PART” documentation to establish medical necessity for treatment of Medicare patients stands for:Pain, Aggravation, Resistance, and TimePain, Aggression, Regression, and TimePain, Asymmetry, Range of Motion, and Tissue IrregularityPre-existing, Asymptomatic, Recurrence, and Treatment Chiropractic daily notes that historically fail Medicare audit or post-payment review are most likely due to the absence of:Doctor signaturePART documentationCorrelation between diagnosis and treatmentTreatment plan and measurable goals The primary reason for documentation of patient encounters is:Risk mitigationProving clinical necessity for careContinuity of patient care among providersTo provide substantive evidence that treatment met the standard of care For chiropractors who perform diagnostic imaging in their offices, what is the most common documentation error committed?Failing to mention the study/studies in the daily recordMisspelling of common anatomical or radiological termsAbsence of a formal imaging reportFailure to mark lines and listings on the X-ray film/digital image Current Procedural Terminology (CPT) defines one unit of a timed service as 15 minutes. What is the least number of minutes of a single timed service that must be performed/documented in order to bill for 2 units of that service?16 minutes23 minutes30 minutes29 minutes or more Email Time is Up!
