AAPC CRC Study Guide with Questions and Correct Answers

which medicare part is reimbursed based on the risk adjustment models part c who typically employs risk adjustment coders health plans is a health plan required to follow the minimum necessary rule yes, health plans are covered entities and are therefore required to follow the minimum necessary rule what is an example of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement which part of medicare is also called medicare advantage part c which health insurance assistance program is sponsored by federal and state governments medicaid what OIG document should a medicare advantage participant review for potential problem areas that will receive special scrutiny in the upcoming year OIG work plan which code set is used by risk adjustment coders icd-10-cm which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of health information Health Information Technology for Economic and Clinical Health Act (HITECH) what is coding translating a written or dictated medical record into a series of alphanumeric codes which organ is in the thoracic cavity lungs what does the term distal indicate farther from the point of attachment blood is received back into the left atrium of the heart through.... pulmonary veins the root of the nail is also known as what germinal matrix the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12 years ago which successfully eradicated the CA how would this be reported personal history of breast cancer