Question

quizlet which of the following is a skilled nursing facility best practice guideline for the compliance officer? a. only pull a report of your levels of therapy denied. b. determine your lowest therapies billed. c. if audit determines claims did not meet medical necessity, report to cms within 60 days. d. all of the above.

Answer 1

If audit determines claims did not meet medical necessity, report to CMS within 60 days  than a skilled nursing facility best practice guideline for the compliance officer.

Why would someone work in compliance?

To ensure that all company operations and procedures adhere to the law, compliance officers are in charge. Along with ensuring that business practices adhere to external standards, a compliance officer is also in charge of making sure that the law is followed. The FCPA, for instance, makes it illegal to bribe foreign government representatives in order to secure a business contract. Compliance officers make sure the organization has created anti-bribery policies and educated employees on what those policies are.

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