CPC exam prep 2023

CPC exam prep 2023 What is medical coding? - ANS-Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - ANS-Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - ANS-LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? - ANS-when a service is not expected to be covered under medicare The amount on an ABN should be within how much of the cost to a patient? - ANS-$100 or 25% of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? - ANS-Clearinghouse A covered entity does not include: - ANS-patients What is PHI? - ANS-Protected Health Information Intentional billing of services not provided is considered - ANS-fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? - ANS-OIG Work Plan 5 Body cavities - ANS-cranial, spinal, thoracic, abdominal, pelvic 5 types of membranes - Continues...