Aapc chapter 20 review - Study guides, Class notes & Summaries

HCCA - CHC Study Questions (MASTER FLASHCARDS) True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

AAPC CPB - Chapter 9 Practical Application Questions and Answers 2023 Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: Payer: HEALTHSPRINGMEDICARE Submission Date: 11/19/XX Date of Service: 11/09/XX Charge: $557.00 Provider: Post, Alexis According to this clearinghouse rejections report, what actions should be taken on the claim for David...

AAPC - Chapter 20 Review Exam with Questions and simplified Answers that are 100% correct and A+ rated

AAPC CPB Chapter 1 Review Questions and Answers 2023 FCA False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-representing the amount of a delivered product ....or.... -under-stating an obligation to the government Minimum Necessary Standard. What should be sent if records are being requested?? The ? req...

AAPC - Chapter 9 Review ExamA final diagnosis for a patient in the ER is COPD with acute bronchitis due to echovirus. How is this diagnosis coded? - correct answer J44.0, J20.7 What CPT® code is reported for an emergency endotracheal intubation to save the patient's life? - correct answer 31500 What CPT® code is reported for a percutaneous needle biopsy of mediastinum? - correct answer 32405 What ICD-10-CM code is reported for spontaneous pneumothorax? - correct answer J93.83 What...

AAPC CPB - Chapter 1 Review Latest Solutions With Verified Solutions What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index Correct Answer: c. Protected Health Information 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? a. Stark Laws b. H...

AAPC CPB - Chapter 9 Practical Application questions and answers Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: Payer: HEALTHSPRINGMEDICARE Submission Date: 11/19/XX Date of Service: 11/09/XX Charge: $557.00 Provider: Post, Alexis According to this clearinghouse rejections report, what actions should be taken on the claim for David Adam...

AAPC CPB - Chapter 3 Practical Application Questions and Answers 2023 Use the CPB Chapter 3_Case to answer questions 1 & 2. 1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? a. $15.00 b. $50.00 c. $75.00 d. The patient does not have a copay for preventive visits. d. The patient does not have a copay for preventive visits. Response Feedback: On the insurance card, under the copay column for In-network, i...

AAPC Chapter 1 Review - The Business of Medicine Already Passed 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. Using the ...

AAPC CPB - Chapter 3 Practical Application Question and with complete solution 2023Use the CPB Chapter 3_Case to answer questions 1 & 2. 1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? a. $15.00 b. $50.00 c. $75.00 d. The patient does not have a copay for preventive visits. d. The patient does not have a copay for preventive visits. Response Feedback: On the insurance card, under the copay column for I...