CRC Exam Chapter 1 Questions With 100% Correct Answers

CRC Exam Chapter 1 Questions With 100% Correct Answers Who are covered entities according to HIPAA? - answerHealth Care Providers Health Plans Health Care Clearinghouses Risk Adjustment Coders should have knowledge in? - answerThe use of medications, treatments of the patient, and diagnostic testing. What document assists provider offices with the development of Compliance Manuals? - answerOIG Compliance Plan Guidance Under HIPAA, what would be a policy requirement for "Minimum Necessary"? - answerOnly individuals whose job requires it may have access to protected health information. What is medical necessity? - answerusing the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. Which code set does risk adjustment coding focus on? - answerICD-10-CM What document is referred to when looking for potential problem areas identified by the government indicating scrutiny of the services? - answerOIG Work Plan What act was enacted as part of the American Recovery and Reinvestment Act of 2009 (AARA) and affected privacy and security? - answerHITECH (Health Information Technology for Economic and Clinical Health Act) Which insurance is the primary government payer in the United States? - answerMedicare What is the benefit of electronic transactions? - answerTimely submissions of claims HIPPA is a ____ part act. - answer5 Which HIPPA Act is t he most concerning to the position of a medical coder? - answerTitle II-Administrative Simplification The Medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer? - answerPart B