AAPC CPB FINAL EXAM 2021 WITH CORRECT RATIONALES

AAPC CPB FINAL EXAM 2021 WITH CORRECT RATIONALES fraud - answer-making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program inadequate med recd - answer-All the following are considered Fraud, EXCEPT: breach - answer-A hospital records transporter is moving medical records from the hospital to an off-site building. During the transport, a chart falls from the box on to the street. It is discovered when the transporter arrives at the off-site building and the number of charts is not correct. What type of violation is this? breach - answer-impermissible release or disclosure of information is discovered covered entity - answer-Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - answer-Which of the following is not a covered entity in the Privacy Rule release reqt to ins co - answer-A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? 12 - answer-How many national priority purposes under the Privacy Rules for disclosure of specific PHI without an individual's authorization or permission? no - answer-A health plan sends a request for medical records in order to adjudicate a claim. Does the office have to notify the patient or have them sign a release to send the information? Truth in Lending Act - answer-A practice sets up a payment plan with a patient. If more than four installments are extended to the patient, what regulation is the practice subject to that makes the practice a creditor? workers comp - answer-Which of the following situations allows release of PHI without authorization from the patient? abuse - answer-Entities that have been identified as having improper billing practices is defined by CMS as a violation of what standard? abuse - answer-misusing any information on the claim, charging excessively for services or supplies, billing for services not medically necessary, failure to maintain adequate medical or financial records, improper billing practices, or billing Medicare patients at a higher fee scale that non-Medicare patients.