AAPC Chapter 1 (Exam and correct solutions) Best of (FULLY SOLVED)100% sure

Financial Records - answer-Which type of information is NOT maintained in a medical record. Coding Specialists - answer-Professionals who specialize in coding are called: Coding from the header without reading the body of the report - answer-When coding an operative report, what action would NOT be recommended? CPT HCPCS Level II and ICD-10-CM - answer-Which coding manuals do outpatient coders focus on learning? National Coverage Determinations Manual - answer-The ___________ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare. To explain CMS policies on when Medicare will pay for items or services. - answer-What is the purpose of National Coverage Determinations? Each regional MAC - answer-Local Coverage Determinations are administered by whom? Region - answer-LCDs only have jurisdiction in their ___________. Advance Beneficiary Notice - answer-ABN stands for _______________. Prior to providing a service or item to a beneficiary - answer-When are providers responsible for obtaining an ABN for a service NOT considered medically necessary? 1996 - answer-In what year did HIPAA become law? OCR (office of Civil Rights) - answer-Who is responsible for enforcing the HIPAA security rule? Notices of Privacy Practices - answer-Healthcare providers are responsible for developing ____________ and policies and procedures regarding privacy in their practices. 30 - answer-HITECH provides a ___________ day window during which any violation not due to willful neglect may be corrected without penalty. Eliminates risk of an audit (There is less risk, but the risk is not completely eliminated) - answer-What is NOT a benefits of an active compliance plan? 7 - answer-How many components are in a compliance plan? legal and ethical - answer-According to AAPC's Code of Ethics, an AAPC member shall use only ____________ and __________ means in all professional dealings. Prescription drug coverage available to all Medicare beneficiaries - answer-What type of insurance is Medicare Part D Protected Health Information - answer-What is PHI? CMS-1500 - answer-What form is used to submit a provider's charge to the insurance carrier? Timely submissions of claims - answer-What is a BENEFIT of electronic transactions? Anesthesiologist - answer-Which provider is NOT a mid-level provider (Options: a) Physician Assistant, b) Nurse Practitioner, c) Anesthesiologist, d) All choices are mid-level providers) 1988 - answer-In what year was AAPC founded? Code Sets, Evaluation & Management Principles, and Documentation Guidelines - answer-AAPC credentialed coders have proven mastery of what information?