CRC Exam Chapter 1 exam 2023 with complete solutions

Who are covered entities according to HIPAA? Health Care Providers Health Plans Health Care Clearinghouses Risk Adjustment Coders should have knowledge in? The use of medications, treatments of the patient, and diagnostic testing. What document assists provider offices with the development of Compliance Manuals? OIG Compliance Plan Guidance Under HIPAA, what would be a policy requirement for "Minimum Necessary"? Only individuals whose job requires it may have access to protected health information. What is medical necessity? using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. Which code set does risk adjustment coding focus on? ICD-10-CM What document is referred to when looking for potential problem areas identified by the government indicating scrutiny of the services? OIG Work Plan What act was enacted as part of the American Recovery and Reinvestment Act of 2009 (AARA) and affected privacy and security? HITECH (Health Information Technology for Economic and Clinical Health Act) Which insurance is the primary government payer in the United States? Medicare What is the benefit of electronic transactions? Timely submissions of claims HIPPA is a ____ part act. 5 Which HIPPA Act is t he most concerning to the position of a medical coder? Title II-Administrative Simplification The Medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer? Part B What does HIPAA stand for? Health Insurance Portability and Accountability Act of 1996