AAPC CPB Chapter 1 Review Question and answers 2023/2024

AAPC CPB Chapter 1 Review Question and answers 2023/2024FCA - correct answers False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-representing the amount of a delivered product ....or.... -under-stating an obligation to the government Minimum Necessary Standard. What should be sent if records are being requested?? - correct answers The ? requires covered entities to take reasonable steps to limit the disclosure of PHI. Only the dates of service requested should be sent. The PHI would not need to be redacted. What does PHI stand for?? What does it include?? - correct answers Protected Health Information-"individually identifiable health information" that includes many common identifiers, such as demographic data, name, address, birth date, and social security number. If a provider is excluded from federal health plans, what does that mean?? - correct answers One of the most severe penalties associated with the Social Security Act is the ability of the Office of Inspector General (OIG) to exclude an entity or an individual from participation in any and all federal healthcare programs. This includes Medicare, Medicaid, VA programs, and TRICARE. An excluded individual cannot bill for services, provide referrals, prescribe medications or order services for any beneficiary of a federally admini