CPC Preparation (All Exams)
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, Revie Test
Submissio
n: Chapter
1 Quiz
• Question 1
What document is referenced to when looking for potential problem areas identified by
the government indicating scrutiny of the services within the coming year?
Selected Answer:
Correct Answer:
Response Feedback:
, c.
OIG Work Plan
c.
OIG Work Plan
Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year
ahead. Within the Work Plan, potential problem areas with claims submissions are listed and will
be targeted with special scrutiny.
• Question 2
10 out of 10 points
When presenting a cost estimate on an ABN for a potentially noncovered service, the c ost
estimate should be within what range of the actual cost?
Selected c.
Answer: $100 or 25 percent
Correct c.
Answer: $100 or 25 percent
Response Rationale: CMS instructions stipulate, “Notifiers must make a good faith
Feedback: effort to insert a reasonable estimate…the estimate should be within $100
or 25 percent of the actual costs, whichever is greater.”
, Response Rationale: It is the responsibility of a covered entity to develop and
Feedback: implement policies, best suited to its particular circumstances to meet
HIPAA requirements. As a policy requirement, only those individuals whose
job requires it may have access to protected health information.
• Question 4
0 out of 10 points
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
(ARRA) and affected privacy and security?
Selected Answer:
Correct Answer:
Response Feedback: