CPC-C NCCT PART 2 QUESTIONS AND ANSWERS 100% PASS

CPC-C NCCT PART 2 QUESTIONS AND ANSWERS 100% PASS The intent of the privacy rules is best represented by the following term: - Answer- patient information Which incident would be considered a breach of protected health information? - Answer-Beneficiary's photograph on a health insurance brochure w/ verbal consent According to HIPAA, an information release form must contain: - Answer-the specific identity of the person or organization that will be receiving the information. What element of security, is defined by HIPAA? - Answer-Having complaint software w/ internal audit capability A patient may file a compliant on a HIPAA violation w/ - Answer-The department of Health & Human Services Which is an element of privacy, as defined by HIPAA? - Answer-The kind of information that can be shared or used w/o authorization The steps of coding include all except: - Answer-completing the CMS-1500 form The goal of the CCI edits initiative are: - Answer-to develop correct coding methodologies based on conventions in the AMA CPT book Which service would most likely be denied payment if performed by a nurse practitioner? - Answer-Surgery requiring general anesthesia Lab services rendered by an independent provider are performed by (a): - Answer- Outside laboratory Which statement is most likely to meet the criteria for medical necessity? - Answer- Removal of a benign mole on the scalp, which is covered by the hair & gets irritated w/ grooming. Which code is needed on the claim form to specify the patient's relationship to the subscriber? - Answer-Individual relationship code Which of the following does NOT reflect trends in outpatient surgery? - Answer-DME is easier to use Which of the following is a common facility encounter? - Answer-Ambulance care According to the CPT manual, a patient is considered "new" if they have not received services with the past ___ year (s) - Answer-three Which of the following is not a physician reimbursement methodology? - Answer- RBRVS RBRVS relative values incorporate all but which of the following? - Answer-Customary Insurance Allowables What is the purpose of a qualified discharge DRG designation? - Answer-Qualifies payment as a transfer case The prospective payment system for inpatient services used today by Medicare & some other third-party payers is known as: - Answer-DRG's The act of legislation requiring physicians to submit diagnosis codes for reimbursement: - Answer-Medicare Catastrophic Coverage Act of 1988 Name the act which legislated the IPPS system & manages the use of DRG reimbursement to facilities is called: - Answer-Tax Equity & Fiscal Act of 1983