HCPCS and Coding Compliance Exam Questions and Answers | 100% Pass

HCPCS and Coding Compliance Exam Questions and Answers | 100% Pass The written notification that must be signed by a Medicare patient as warning that a service may not be medically necessary is called a(n): -Answer-advanced beneficiary notice. Inaccurate coding and incorrect billing can result in: -Answer-delays in receiving payments. prison sentences. loss of the provider's license to practice medicine. When each reported service is connected to a diagnosis that supports the procedure as necessary, the claim is referred to as: -Answer-clean. Code linkage refers to the connection between the: -Answer-CPT and ICD-9-CM codes. Procedure and diagnostic codes should be appropriate to the patient's: -Answer-both age and gender. The act that prohibits submitting a fraudulent claim or making a false statement in connection with a claim is called the: -Answer-Federal Civil False Claims Act. Individuals suspected of medical fraud and abuse can be investigated and prosecuted by all of the following EXCEPT the: -Answer-Supreme Court. The Healthcare Fraud and Abuse Control Program was created by the: -Answer-Health Insurance Portability and Accountability Act (HIPAA). An action that misuses the money that the government has allocated is considered: - Answer-abuse.