AAPC Official CPC Certification Study Guide Notes Already Graded A

"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 several benefits, including: * more accurate payment of claims * 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 Minimum Necessary requirement. this means only the minimum necessary protected health information should be shared to satisfy a particular purpose. A medically necessary service is the least radical service/procedure that allows for effective treatment of the patients' complaint or condition