AAPC CPB Chapter 1-5 study guide 2023/2024

Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of benefits d. Physician unique identifier number - correct answer d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this violate? a. Anti-Kickback Statute b. Stark Law c. False Claims Act d. Truth in Lending Act - correct answer a. Anti-Kickback Statute One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? a. Physicians that have been excluded can bill the patient for services but cannot bill federal health plans. b. Physicians that have been excluded can refer their patients to other facilities for treatment. c. Physicians that have been excluded are prohibited from billing for any services to a federally administered health plan. d. Physicians that have been excluded are exempt from billing for services but are allowed to write prescriptions and order tests. - correct answer c. Physicians that have been excluded are prohibited from billing for any services to a federally administered health plan.