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AAPC CPC Exam Prep Compliance And Regulatory 2023 /45 Questions And Answers (A+)
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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
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