Exam (elaborations)
AAPC CPC Exam Prep Compliance And Regulatory 2023 /45 Questions And Answers (A+)
- Course
- Institution
AAPC CPC Exam Prep Compliance And Regulatory 2023 /45 Questions And Answers (A+)
[Show more]
Seller
Follow
HELLENAH
Reviews received
Content preview
AAPC CPC Exam Prep ComplianceAnd Regulatory 2023 /45
Questions And Answers (A+)
Quiz :What document is referenced to when looking for
potential problem areas identified by the government indicating
scrutiny of the services within the coming year?:
A) OIG Compliance Plan Guidance
B) OIG Security Summary
C) OIG Work Plan
D) OIG Investigation Plan - √Answer :C (Rationale: Twice a
year, the OIG releases a Work Plan outlining its priorities for
the fiscal year ahead. Within the Work Plan, potential problem
areas with claims submissions are listed and will be targeted
with special scrutiny.)
Quiz :What form is provided to a patient to indicate a
servicemay not be covered by Medicare and the patient may
be responsible for the charges?:
A) LCD
B) CMS-1500
C) UB-04
D) ABN - √Answer :D (Rationale: An Advanced Beneficiary
Notice (ABN) is used when a Medicare beneficiary requests or
agrees to receive a procedure or service that Medicare may not
cover. This form notifies the patient of potential out of pocket
costs for the patient.)
Quiz :Under HIPAA, what would be a policy requirement for
"minimum necessary"? "
A) Only individuals whose job requires it may have access to
protected health information.
B) Only the patient has access to his or her own protected
health information.
C) Only the treating provider has access to protected health
information.
, D) Anyone within the provider's office can have access to
protected health information. - √Answer :A (Rationale: It is the
responsibility of a covered entity to develop and implement
policies, best suited to its particular circumstances to meet
HIPAA requirements. As a policy requirement, only those
individuals whose job requires it may have access to protected
health information.)
Quiz :Which statement describes a medically necessary
service? :
A) Performing a procedure/service based on cost to eliminate
wasteful services.
B) Using the least radical service/procedure that allows for
effective treatment of the patient's complaint or condition.
C) Using the closest facility to perform a service or procedure.
D) Using the appropriate course of treatment to fit within the
patient's lifestyle. - √Answer :B (Rationale: Medical necessity is
using the least radical services/procedure that allows for
effective treatment of the patient's complaint or condition.)
Quiz :According to the example LCD from Novitas Solutions,
which of the following conditions is considered a systemic
condition that may result in the need for routine foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weakness - √Answer :B (Rationale: According to the
LCD, Chronic venous insufficiency is a systemic condition that
may result in the need for routine foot care.)
Quiz :When presenting a cost estimate on an ABN for a
potentially noncovered service, the cost estimate should be
within what range of the actual cost?
A) $25 or 10 percent
B) $100 or 10 percent
C) $100 or 25 percent
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now