AAPC CPC 2017 Chapter 1 Test Review EXPERT VERIFIED ANSWERS WITH RATIONALES INCLUDED. GUARANTEED A GRADE .

Question 1_4 out of 4 points What is the value of a remittance advice? Selected Answer: c. It states what will be paid and why any changes to charges were made. Correct Answer: c. It states what will be paid and why any changes to charges were made. Response Feedback: Rationale: The determination of the payer is sent to the provider in the form of a remittance advice. The remittance advice explains the outcome of the insurance adjudication on the claim, including the payment amount, contractual adjustments and reason(s) for denial.  Question 2_4 out of 4 points What is the purpose of National Coverage Determinations? Selected Answer: d. To explain CMS policies on when Medicare will pay for items or services. Correct Answer: d. To explain CMS policies on when Medicare will pay for items or services. Response Feedback: Rationale: National Coverage Determinations (NCD) explain CMS policies on when Medicare will pay for items or services.  Question 3_4 out of 4 points How many components are included in an effective compliance plan? Selected Answer: d. 7 Correct Answer: d. 7 Response Feedback: Rationale: The following list of components, as set forth in previous OIG Compliance Program Guidance for Individual and Small Group Physician Practices, can form the basis of a voluntary compliance program for a provider practice: • Conducting internal monitoring and auditing through the performance of periodic audits; • Implementing compliance and practice standards through the development of written standards and procedures; • Designating a compliance officer or contact(s) to monitor compliance efforts and enforce practice standards; • Conducting appropriate training and education on practice standards and procedures; • Responding appropriately to detected violations through the investigation of allegations