CPC Exam Prep | 170 Questions with 100% Correct Answers | Verified | Latest Update 2024

What part of Medicare covers prescription drug services - Part D What is medical coding? - Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? - 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? - $100 or 25% of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? - Clearinghouse A covered entity does not include: - patients What is PHI? - Protected Health Information Intentional billing of services not provided is considered - fraud