AAPC CPC exam prep Compliance and Regulatory| Questions with 100% correct Answers | verified

What document is referenced to when looking for potential problem areas identified by the government indicatings crutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan - C (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.) What form is provided to a patient to indicate a service may not be covered by Medicare and the patient may be responsible for the charges?: A) LCD B) CMS-1500 C) UB-04 D) ABN - D (Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare beneficiary requests or agrees to receive a procedure or service that Medicare may not cover. This form notifies the patient of potential out of pocket costs for the patient.) Under HIPAA, what would be a policy requirement for "minimum necessary"? " A) Only individuals whose job requires it may have access to protected health information. B) Only the patient has access to his or her own protected health information. C) Only the treating provider has access to protected health information. D) Anyone within the provider's office can have access to protected health information. - A (Rationale: It is the responsibility of a covered entity to develop and 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.) Which statement describes a medically necessary service? :