Cpb Practice Exam 1

CPB PRACTICE EXAM 1 ________________________ is a legal proceeding involving a person that is unable to repay outstanding outstanding debts. A. Collection Agency B. Bankruptcy C. Dismissal of patient D. Bad debt - B. Bankruptcy According to Chapter 30 of the Medicare Claims Processing Manual, any refund due a Medicare recipient must be made to the beneficiary within _____________ days. A. 5 B. 15 C. 30 D. 60 - C. 30 The HIPAA privacy rule states that "an individual has the right to inspect and obtain a copy of the individual's protected health information (PHI) in a designated record set". What PHI cannot be inspected by the patient or be allowed a copy of such record? A. PHI exempt from CLIA (information generated by facilities that perform forensic testing). B. Psychotherapy notes C. Information compiled in anticipation of use in a civil, criminal, or administrative action or proceeding. D. All of the above - D. All of the above The __________________________ was developed by CMS to assign the unique health care provider and health plan identifiers and to serve as a database from which to extract data. A. Healthcare Organization Act B. HIPAA ruling C. Web-based application D. National Plan and Provider Enumeration System (NPPES) - D. National Plan and Provider Enumeration System (NNPES) The ______________________, which uses Ambulatory Payment Classifications (APCs) to calculate reimbursement, is implemented for billing of hospital-based Medicare outpatient claims. A. Medicare Contracting Reform (MCR) B. Quality Improvement System (QIS) C. Outpatient Prospective Payment System (OPPS) D. Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) - C. Outpatient Prospective Payment System (OPPS) What part of a SOAP note contains the chief complaint and the patient's description of the presenting problem? A. Plan B. Assessment C. Objective D. Subjective - D. Subjective A _______________________ is used to compare units of service (UOS) with CPT and HCPCS Level II Codes reported on claims. A. medically unlikely edit B. medical necessity code C. Medicare severity diagnosis-related groups D. None of the above. - A. medically unlikely edit _Code first underlying disease _ is when the code referenced is to be sequenced as a secondary code; the code, title, and instructions are italicized. What is this referred to as: A. ICD-10-CM Coding Convention B. CPT® Coding Convention C. HCPCS Level II Coding Convention