CBCS EXAM LATEST STUDY BUNDLE PACK SOLUTION (VERIFIED)

CBCS EXAM LATEST STUDY BUNDLE PACK SOLUTION (VERIFIED) When was the Health Information and Accountability Act (HIPAA) created? - ANSWER️️ 1996 What are Medical Ethics? - ANSWER️️ Standards of conduct based on moral principals. What are the two provisions of HIPPA? - ANSWER️️ 1. Insurance Reform 2. Administrative Simplification What is the False Claims Act (FCA) - ANSWER️️ A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim. What is the National Correct Coding Initiative (NCCI)? - ANSWER️️ Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims. What are the two types of edits that the NCCI implements? - ANSWER️️ 1. Column 1/ Column 2; identified unbundled codes. 2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day. Who investigates and prosecutes Health Care fraud? - ANSWER️️ Office of Inspector General (OI