CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
1. 1. The biller at a medical party
practice has identified $575
in Medicare overpayments. 3. 3. A request for medical records
After verification, they are is received at a medical practice
presented to the office from a health plan. The health
manager, who tells the plan is requesting notes from
biller not to write the refund
check. The medical practice
is going to put the money in
their general account
instead. What act does this
action violate?
A. Truth in Lending Act
B. Health Insurance
Portability and
Accountability Act
C.Administrative
Simplification Rule
D.False Claims Act
2. 2. According to the HIPAA
law, a medical practice
engaged in the submission
of electronic claims to a
health plan is considered a:
A. Protected health informant
B. Business associate
C. Covered
entity
D.Contractual
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
1. Answer: D. False Claims Act in HIPAA re-quires covered entities to take
reasonable steps to limit the
Rationale: This act would violate the "reverse
false claims" section of the Act, which provides
for liability if a person acts improperly to avoid
paying money owed to the government.
2. Answer: C. Covered entity
Rationale: A covered entity under HIPAA is
defined as health plans, healthcare
clearinghouses, and any healthcare provider
who transmits health information in an
electronic format.
3. Answer: C. Minimum necessary standard
Rationale: The minimum necessary standard
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
three dates of service for a office is billing Medicare for
pa-tient. Instead of copying drugs that it was obtaining at
all the visits in between no charge from
each date of service
requested, only the spe-cific
dates requested are copied
and sent. This follows what
stan-dard?
A. Covered entity
B.Protected healthcare
informa-tion standard
C. Minimum necessary
standard D.Full disclosure
standard
4. 4.In addition to NDC and
CDT, which of the
following are also among
the adopted standard-ized
code sets under HIPAA?
A.ICD-10-CM, ICD-10-PCS,
HCPCS, and CPT®
B.HCPCS, SNOMED®, and
CPT® C.ICD-10-CM, CPT®,
and
ICD-O3
D.ICD-10-CM, ICD-10-PCS,
HCPCS, CPT®, and SNOMED®
5. 5.In reviewing practice
records, it is found that an
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
use or disclosure of, and requests for, protected HCPCS, and CPT®
healthcare information to the minimum
necessary to accomplish the intended Rationale: The standardized code sets adopted
purpose. To copy all the notes is unnecessary under HIPAA for all transactions are: HCPCS,
when only three dates of service were CPT®, ICD-10-CM, ICD-10-PCS, NDC, and CDT.
requested.
5. Answer: D. Fraud
Rationale: CMS defines fraud as making false
4. Answer: A. ICD-10-CM, ICD-10-PCS, statements or misrepresenting facts to obtain an
undeserved benefit or
drug companies. What does this payment from a federal healthcare program. As
the drugs
were given for free, they cannot be billed to Medicare.
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
1. 1. The biller at a medical party
practice has identified $575
in Medicare overpayments. 3. 3. A request for medical records
After verification, they are is received at a medical practice
presented to the office from a health plan. The health
manager, who tells the plan is requesting notes from
biller not to write the refund
check. The medical practice
is going to put the money in
their general account
instead. What act does this
action violate?
A. Truth in Lending Act
B. Health Insurance
Portability and
Accountability Act
C.Administrative
Simplification Rule
D.False Claims Act
2. 2. According to the HIPAA
law, a medical practice
engaged in the submission
of electronic claims to a
health plan is considered a:
A. Protected health informant
B. Business associate
C. Covered
entity
D.Contractual
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
1. Answer: D. False Claims Act in HIPAA re-quires covered entities to take
reasonable steps to limit the
Rationale: This act would violate the "reverse
false claims" section of the Act, which provides
for liability if a person acts improperly to avoid
paying money owed to the government.
2. Answer: C. Covered entity
Rationale: A covered entity under HIPAA is
defined as health plans, healthcare
clearinghouses, and any healthcare provider
who transmits health information in an
electronic format.
3. Answer: C. Minimum necessary standard
Rationale: The minimum necessary standard
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
three dates of service for a office is billing Medicare for
pa-tient. Instead of copying drugs that it was obtaining at
all the visits in between no charge from
each date of service
requested, only the spe-cific
dates requested are copied
and sent. This follows what
stan-dard?
A. Covered entity
B.Protected healthcare
informa-tion standard
C. Minimum necessary
standard D.Full disclosure
standard
4. 4.In addition to NDC and
CDT, which of the
following are also among
the adopted standard-ized
code sets under HIPAA?
A.ICD-10-CM, ICD-10-PCS,
HCPCS, and CPT®
B.HCPCS, SNOMED®, and
CPT® C.ICD-10-CM, CPT®,
and
ICD-O3
D.ICD-10-CM, ICD-10-PCS,
HCPCS, CPT®, and SNOMED®
5. 5.In reviewing practice
records, it is found that an
, CPB EXAM QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ACTUAL COMPLETE UPDATE |ALREADY GRADED A+
use or disclosure of, and requests for, protected HCPCS, and CPT®
healthcare information to the minimum
necessary to accomplish the intended Rationale: The standardized code sets adopted
purpose. To copy all the notes is unnecessary under HIPAA for all transactions are: HCPCS,
when only three dates of service were CPT®, ICD-10-CM, ICD-10-PCS, NDC, and CDT.
requested.
5. Answer: D. Fraud
Rationale: CMS defines fraud as making false
4. Answer: A. ICD-10-CM, ICD-10-PCS, statements or misrepresenting facts to obtain an
undeserved benefit or
drug companies. What does this payment from a federal healthcare program. As
the drugs
were given for free, they cannot be billed to Medicare.
