Cpc stuvia - Study guides, Class notes & Summaries

CPC Exam Questions and 100% Correct Answers The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or disclosure of, and requests for, protected health information to the minimum necessary to accomplish the intended purpose. The minimum necessary standard does not apply to the following: - ANSWER - Disclosures to or requests by a health care provider for treatment purposes. - Disclosures to the individual who is the subject of the information. - Uses ...

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 - ANSWERSb. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance Susceptible Aureus d. Mild Resistance Steptococcus Aureus - ANSWERSa. Methicillin Resistant Staphylococcus Aureus What does the forth character in diabetes mellitus diabetes codes indicate? a. The c...

Abstractor - Answer hospital employee who converts documented procedurs and diangoses into medical codes Abuse - Answer coding practices that lead to improper reimbursement by error because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance Accreditation - Answer an examination process the healthcare facility goes through to evaluate the facilities policies, procedures, and performance to meet higher standards. Accredited - Answer Having seal of approv...

What part of Medicare covers prescription drug services - ANSWERSPart D What is medical coding? - ANSWERSTranslating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - ANSWERSWorkers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - ANSWERSLCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? - ANSWERSwhen a se...

Medicare Part A - Answer inpatient hospital care, skilled nursing facility care, hospice and home healthcare Medicare Part B - Answer medically necessary physician services, outpatient care; optional benefit --> patient must pay a premium, yearly deductible, and coinsurance Medicare Part C - Answer A + B combined (+ sometimes D); managed by private insurers and approved my Medicare Medicare Part D - Answer Prescription drug coverage program; private insurers and approved by Medicare ...

CPC Practice Exam 2023 with Complete Solutions When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 - ANSWER b. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance Susceptible Aureus d. Mild Resistance Steptococcus Aureus - ANSWER a. Methicillin Resistant Staphylococcus Aureus What does the forth character in diab...

The minimum necessary rule is based on sound current practice that protected health information should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean? a. Staff members are allowed to access any medical record without restriction b. Providers should develop safeguards to prevent unauthorized access to protected health information. c. Practices should only provide minimum necessary information to patients. d. All...

CPC Exam 2022/2023 Questions and Answers 100% Correct medicare part A - ANSWER The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care. Medicare Part B - ANSWER the part of medicare that helps cover madically necessary physician services outpatient care and other medical services full services not covered under medicare part a part B is an optional benefit for which the patient must pay a premium in which genera...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - ANSWER * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANSWER * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a -...

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...