AAPC Official CPC Certification Study Guide
Notes(Notes, definitions and questions from
AAPC CPC Study Guide Medical Coding Prep)
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Terms in this set (156)
"hold harmless clause" * found in some non-Medicare health plan
contracts
* prohibits billing to patient for anything beyond
deductibles and co-pays.
,A compliance plan may offer * more accurate payment of claims
several benefits, including: * fewer billing mistakes
* improved documentation and more accurate
coding
* less chance of violating self-referral and anti-
kickback status
A healthcare clearing house is a entity that processes nonstandard health
information they receive from another entity into a
standard format
A key provision in HIPAA is the only the minimum necessary protected health
Minimum Necessary requirement. information should be shared to satisfy a
this means particular purpose.
A medically necessary service is the least radical service/procedure that allows for
effective treatment of the patients' complaint or
condition
, A patient sustaining an injury to her Leg
great saphenous vein would have
sustained injury to which of
anatomical site?
APC Ambulatory Payment Classification
ARRA American Recovery and Reinvestment Act (of
2009)
ASC Ambulatory Surgical Centers
Abuse consists of payment for items or services that are billed by
providers in error that should not be paid for by
Medicare.
Notes(Notes, definitions and questions from
AAPC CPC Study Guide Medical Coding Prep)
Save
Terms in this set (156)
"hold harmless clause" * found in some non-Medicare health plan
contracts
* prohibits billing to patient for anything beyond
deductibles and co-pays.
,A compliance plan may offer * more accurate payment of claims
several benefits, including: * fewer billing mistakes
* improved documentation and more accurate
coding
* less chance of violating self-referral and anti-
kickback status
A healthcare clearing house is a entity that processes nonstandard health
information they receive from another entity into a
standard format
A key provision in HIPAA is the only the minimum necessary protected health
Minimum Necessary requirement. information should be shared to satisfy a
this means particular purpose.
A medically necessary service is the least radical service/procedure that allows for
effective treatment of the patients' complaint or
condition
, A patient sustaining an injury to her Leg
great saphenous vein would have
sustained injury to which of
anatomical site?
APC Ambulatory Payment Classification
ARRA American Recovery and Reinvestment Act (of
2009)
ASC Ambulatory Surgical Centers
Abuse consists of payment for items or services that are billed by
providers in error that should not be paid for by
Medicare.
