Aapc stuvia - Study guides, Class notes & Summaries

AAPC CPB - Chapter 14 ReviewAAPC CPB - Chapter 14 Review__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER-d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff III . housekeeping IV. food service staff V. administrative staff a. I only b. I and V c. I, III, and V d. I-V - ANSWER-d. I-V Which entity governs workers' compensa...

AAPC CPB - Chapter 9 Review AAPC CPB - Chapter 9 Review A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - ANSWER-a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CMS-1500 claim form -...

When coding in operative report what action would NOT be recommended? - ANSWERSCoding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - ANSWERSMedicare administrative contractor (MAC) MAC stands for what!? - ANSWERSMedicare administrative contractor What is the definition of coding? - ANSWERSTranslating documentation into numerical/alphabetical codes used to obtai...

covered entity - ANSWERSHealth plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWERSWhich of the following is not a covered entity in the Privacy Rule release reqt to ins co - ANSWERSA 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 sho...

What form is provided to a patient to indicate a service may not be covered by medicare and the patient may be responsible for the charges? - ANSWERSABN Under HIPAA what would be a policy requirement for "minimum necessary"? - ANSWERSOnly individuals whos job requires it may have access to protected health information What document is referenced to when looking for potential problem areas indentified by the government indicating scrutiny of the service? - ANSWERSOIG work plan Select t...

Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code - ANSWER D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct ans...

Joe and Mary are a married couple, and both carry insurance from their employers. Joe was born on February 23, 1987 and Mary was born on April 4, 1984. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her DOB is the 4th and Joe's DOB is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before Mary's birth m...

Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan a. I, II, III b. II, III, IV c. I, II, III, IV d. I, III - ANSWERSd. I, III A patient has receipts for her dental cleaning, vision exam, and contact lenses. Her employer has set up special accounts for each employee, there is no limit to the amount the employer can contribute and the balances roll over from year to year. ...

The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - ANSWERSc. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - ANSWERSc. Subscriber What information can be found on the Blue Cross/Blue Shield insurance identification card? I. Type of plan II. Subs...

AAPC Chapter 20: Medicine Exam Practice Questions and Answers A 35-year-old patient plans to travel to a country with a high incidence of yellow fever. The patient receives the yellow fever immunization. Select the appropriate procedure codes for this service. - ANSWER-90717, 90471 Rationale: Code for both the vaccine and the administration. Codes 90717 and 90471 describe the yellow fever vaccine and the immunization administration for 1 vaccine. In the CPT® Index look for Vaccines and T...