Questions and Answers
1. What is the patient's right when it involves making changes in the personal
medical record?
A. Patient must work through an attorney to revise any portion of the personal medical
information.
B. They should be able to obtain copies of the medical record and request
corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D.Revision of the patient medical record depends solely on the facility's
compliance program policy.
ANS B. They should be able to obtain copies of the medical record and request corrections of errors and mistakes.
Under HIPAA regulations, patients have the right to receive a copy of their medical record and request that errors are corrected.
https://www.hhs.gov/hipaa/for-individuals/medical-records/index.html
2. Which modifier is appended to a CPT®, for which the provider had a patient sign an
Advance Beneficiary Notice (ABN) form because there is a possibility the service may be
denied because the patient's diagnosis might not meet medical necessity for the covered
service?
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, A. GJ
B. GA
C. GB
D. GY
ANS B. GA
An Advance Beneficiary Notice (ABN) is a waiver of liability. When a patient has been informed a service that is otherwise covered by
Medicare but might not be covered in a particular instance an ABN is signed by the patient prior to receiving the service. To inform
Medicare the ABN has been signed, append modifier GA. If an ABN is signed, the claim is the patient's responsibility if the
claim is denied. This modifier is listed in the HCPCS Level II codebook.
3. Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate
subentries exist in the Alphabetic Index at the same indentation level, code
only the acute condition.
B. Sequela (Late effect) codes are reported for a current acute phase of the injury
or illness
C. An ICD-10-CM code is still valid even if it has not been coded to the full
number of characters required for that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as
additional codes, unless otherwise instructed.
ANS D. Signs and symptoms that are integral to the disease process should not be assigned as additional codes,
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