AAPC CPC Exam Prep Compliance and Regulatory| Updated | Tested and Approved

AAPC CPC Exam Prep Compliance and Regulatory| Updated | Tested and Approved Which document highlights areas of concern identified by the government that will undergo scrutiny in the upcoming year? A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan What is the name of the form given to a patient that informs them that a service might not be covered by Medicare, potentially leaving them responsible for the charges? A) LCD B) CMS-1500 C) UB-04 D) ABN Under the HIPAA regulations, what does the "minimum necessary" policy imply? A) Access to protected health information is restricted to those whose job requires it. B) Only the patient can access their own protected health information. C) Only the treating provider can access protected health information. D) All individuals in the office have access to protected health information. 2 How would you describe a service that is considered medically necessary? A) Performing a service based on its cost to reduce unnecessary procedures. B) Choosing the least invasive procedure that effectively treats the patient's condition. C) Opting for the closest facility to perform the service. D) Selecting a treatment plan that aligns with the patient's lifestyle. According to Novitas Solutions' LCD example, which condition is recognized as a systemic issue that might require regular foot care? A) arthritis B) chronic venous insufficiency C) hypertension D) muscle weakness What is the acceptable margin for estimating the cost on an ABN for a service that may not be covered? A) $25 or 10 percent B) $100 or 10 percent C) $100 or 25 percent D) An exact amount Which law, part of the American Recovery and Reinvestment Act of 2009 (ARRA), affects privacy and security? 3 A) HIPAA B) HITECH C) SSA D) PPACA Which document is designed to help provider offices create compliance manuals? A) OIG Compliance Plan Guidance B) OIG Work Plan C) OIG Suggested Rules and Regulations D) OIG Internal Compliance Plan Which of the following is TRUE about ABNs? A) Non-Medicare payers may not recognize ABNs. B) ABNs are mandatory for emergency or urgent care situations. C) ABNs do not require an estimated cost for the service. D) ABNs must be signed by Medicare beneficiaries for any service that Medicare may not cover. Who is NOT considered a covered entity under HIPAA