AAPC CPB - Chapter 1 Review Questions and Answers

AAPC CPB - Chapter 1 Review Questions and Answers What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - Answer️️ -c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? a. Stark Laws b. HIPAA c. Anti-Kickback law d. Qui Tam - Answer️️ -c. Anti-Kickback law ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 2 Which of the following is NOT a component of the Preferred Provider Organizations (PPO) payer model? a. Offer a discounted fee schedule b. Operate within networks c. Require the enrollee to maintain a PCP d. Utilization of preferred providers - Answer️️ -c. Require the enrollee to maintain a PCP In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? a. An office receives a court order. b. An office receives requests for medical records for a Medicare audit. c. An office receives a call from a patient's husband asking for information about his wife's recent office visit. d. An office releases patient information to the Coroner's office upon the death of a patient. - Answer️️ -c. An office receives a call from a patient's husband asking for information about his wife's recent office visit. Which of the following is not a covered entity in the Privacy Rule? ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 3 a. Commercial insurance company b. A healthcare consulting firm c. A Pediatric practice d. A billing service - Answer️️ -b. A healthcare consulting firm What types of entities do conditions of participation (CoP) apply to for health plans? I. Hospitals II. Clinics III. Transplant centers IV. Psychiatric hospitals a. I, II, III b. I, III, IV c. II, III, IV d. I, II, III, IV - Answer️️ -d. I, II, III,