AAPC CPB - Chapter 1 Quiz-solved

Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? - Answer- d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this violate? - Answer- a. Anti-Kickback Statute One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? - Answer- c. Physicians that have been excluded are prohibited from billing for any services to a federally administered health plan. A claim is received by a payer that subsequently requests the medical records for the date of service on the claim. What procedure should be followed by the practice? - Answer- a. Only the date of service on the claim should be sent to the payer. The records can be sent as part of HIPAA based on treatment, payment, and operations (TPO). HIPAA requires that privacy practice notices be provided in several circumstances. Which if the following is NOT requ