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AAPC CPB Final Exam/ Questions with Certified Answers. Terms like: 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? - Answer: abuse According to the Privacy Rule, what health information may not be de-identified? - Answer: phys provider number making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program - Answer: fraud

NCDs are released by which of the following entities: - CMS 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? - no ____ sets standards and directives to protect workers against transmission of infectious agents. - OSHA ________ is when the provider has limited access to payer and patient data elements on their patients only. - extranet "with contrast" does not ...

AAPC CPB Final Exam Prep ed entity - correct answer Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - correct answer Which of the following is not a covered entity in the Privacy Rule release reqt to ins co - correct answer 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...

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2023 AAPC CPB Final Exam Questions and Answers (2022/2023) (Verified Answers) AGRADE

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 ma...

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