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Exam (elaborations)

AAPC CPB Final Latest Questions And Answers Rated 100% Correct

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Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: -:- covered entity Which of the following is not a covered entity in the Privacy Rule -:- healthcare consulting firm A request for medical records is received for a specific ...

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  • September 24, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AAPC CPB
  • AAPC CPB
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2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!

AAPC CPB Final Latest Questions And
Answers Rated 100% Correct
Health plan, clearinghouses, and any entity transmitting health information is considered by

the Privacy Rule to be a:


-:- covered entity




Which of the following is not a covered entity in the Privacy Rule


-:- healthcare consulting firm




A request for medical records is received for a specific date of service from patient's

insurance company with regards to a submitted claim. No authorization for release of

information is provided. What action should be taken?


-:- release reqt to ins co




How many national priority purposes under the Privacy Rules for disclosure of specific PHI

without an individual's authorization or permission?


-:- 12




A health plan sends a request for medical records in order to adjudicate a claim. Does the

office have to notify the patient or have them sign a release to send the information?



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-:- no




A practice sets up a payment plan with a patient. If more than four installments are

extended to the patient, what regulation is the practice subject to that makes the practice a

creditor?


-:- Truth in Lending Act




Which of the following situations allows release of PHI without authorization from the

patient?


-:- workers comp




misusing any information on the claim, charging excessively for services or supplies, billing

for services not medically necessary, failure to maintain adequate medical or financial

records, improper billing practices, or billing Medicare patients at a higher fee scale that

non-Medicare patients.


-:- abuse




A claim is submitted for a patient on Medicare with a higher fee than a patient on Insurance

ABC. What is this considered by CMS?


-:- abuse




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According to the Privacy Rule, what health information may not be de-identified?


-:- phys provider number




making false statements or misrepresenting facts to obtain an undeserved benefit or

payment from a federal healthcare program


-:- fraud




All the following are considered Fraud, EXCEPT:


-:- inadequate med recd




A hospital records transporter is moving medical records from the hospital to an off-site

building. During the transport, a chart falls from the box on to the street. It is discovered

when the transporter arrives at the off-site building and the number of charts is not correct.

What type of violation is this?


-:- breach




impermissible release or disclosure of information is discovered


-:- breach




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What standard transactions is NOT included in EDI and adopted under HIPAA?


-:- waiver of liability




The Federal False Claim Act allows for claims to be reviewed for a standard of how many

years after an incident?


-:- 7




A new radiology company opens in town. The manager calls your practice and offers to pay

$20 for every Medicare patient you send to them for radiology services. What does this

offer violate?


-:- anti kickback laws




A private practice hires a consultant to come in and audit some medical records. Under the

Privacy Rule, what is this consultant considered?


-:- biz associate




Medicare overpayments should be returned within ___ days after the overpayment has

been identified


-:- 60




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