Medical Coding Training - AAPC CPC 2025 Update
需要写什么主题需要写什么主题的中文作文,是写故
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事、议论文、记叙文,还是其他类型?另外,作文的
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字数要求是多少呢?需要写什么主题的中文作文,是
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写故事、议论文、记叙文,还是其他类型?另外,作
文的字数要求是多少呢?的中文作文,是写故事、议
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论文、记叙文,还是其他类型?另外,作文的字数要
Which statement below describes a medically necessary service?
求是多少呢?
A. Performing a procedure/service based on cost to eliminate wasteful services.
B. Using the least radical service/procedure that allows for effective treatment
of the patient's complaint or condition.
C. Using the closest facility to perform a service or procedure.
D. Using the appropriate course of treatment to fit within the patient's lifestyle.
- (ANSWER)B. Using the least radical service/procedure that allows for effective
treatment of the patient's complaint or condition.
Rationale: Medical necessity is using the least radical services/procedure that
allows for effective treatment of the patient's complaint or condition.
According to the example LCD from Novitas Solutions, measurement of vitamin
D levels is indicated for patients with condition?
A. fatigue
B. fibromyalgia
C. hypertension
D. muscle weakness - (ANSWER)C. hypertension
, 2
Rationale: According to the LCD, measurement of vitamin D levels is indicated
需要写什么主题需要写什么主题的中文作文,是写故
for patients with fibromyalgia.
事、议论文、记叙文,还是其他类型?另外,作文的
字数要求是多少呢?需要写什么主题的中文作文,是
What form is provided to a patient to indicate a service may not be covered by
写故事、议论文、记叙文,还是其他类型?另外,作
Medicare and the patient may be responsible for the charges?
文的字数要求是多少呢?的中文作文,是写故事、议
论文、记叙文,还是其他类型?另外,作文的字数要
A. LCD
求是多少呢?
B. CMS-1500
C. UB-04
D. ABN - (ANSWER)D. ABN
Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare
beneficiary requests or agrees to receive a procedure or service that Medicare
may not cover. This form notifies the patient of potential out of pocket costs for
the patient.
Select the true statement regarding ABNs.
A. ABNs may not be recognized by non-Medicare payers.
B. ABNs must be signed for emergency or urgent care.
C. ABNs are not required to include an estimate cost for the service.
D. ABNs should be routinely signed by Medicare beneficiaries in case Medicare
does not cover a service. - (ANSWER)A. ABNs may not be recognized by non-
Medicare payers.
Rationale: ABNs may not be recognized by non-Medicare payers. Providers
should review their contracts to determine which payers will accept an ABN for
services not covered.
, 3
需要写什么主题需要写什么主题的中文作文,是写故
When presenting a cost estimate on an ABN for a potentially noncovered
事、议论文、记叙文,还是其他类型?另外,作文的
service, the cost estimate should be within what range of the actual cost?
字数要求是多少呢?需要写什么主题的中文作文,是
写故事、议论文、记叙文,还是其他类型?另外,作
A. $25 or 10%
文的字数要求是多少呢?的中文作文,是写故事、议
B. $100 or 10%
论文、记叙文,还是其他类型?另外,作文的字数要
C. $100 or 25% 求是多少呢?
D. An exact amount. - (ANSWER)C. $100 or 25%
"Notifiers must make a good faith effort to insert a reasonable estimate...the
estimate should be within $100 or 25 percent of the actual costs, whichever is
greater."
Rationale: CMS instructions stipulate, "Notifiers must make a good faith effort
to insert a reasonable estimate...the estimate should be within $100 or 25
percent of the actual costs, whichever is greater."
Who would NOT be considered a covered entity under HIPAA?
A. Doctors
B. HMOs
C. Clearinghouse
D. Patient - (ANSWER)D. Patient
Rationale: Covered entities in relation to HIPAA include healthcare providers,
health plans, and healthcare clearinghouses. The patient is not considered a
covered entity although it is the patient's data that is protected.
, 4
需要写什么主题需要写什么主题的中文作文,是写故
Under HIPAA, what would be a policy requirement for "Minimum Necessary?"
事、议论文、记叙文,还是其他类型?另外,作文的
字数要求是多少呢?需要写什么主题的中文作文,是
A. Only individuals whose job requires it may have access to protected health
写故事、议论文、记叙文,还是其他类型?另外,作
information.
文的字数要求是多少呢?的中文作文,是写故事、议
B. Only the patient has access to protected health information.
论文、记叙文,还是其他类型?另外,作文的字数要
C. Only the treatment求是多少呢?
physician has access to protected health information.
D. Anyone within the provider's office can have access to protected health
information. - (ANSWER)A. Only individuals whose job requires it may have
access to protected health information.
Rationale: It is the responsibility of a covered entity to develop and implement
policies best suited to its particular circumstances to meet HIPAA requirements.
As a policy requirement, only those individuals whose job requires it may have
access to protected health information.
Which Act was enacted as part of the American Recovery and Reinvestment
Act of 2009 (ARRA) and affected privacy and security?
A. HIPAA
B. HITECH
C. SSA
D. FECA - (ANSWER)B. HITECH
Rationale: The Health Information Technology for Economic and Clinical Health
Act (HITECH) was enacted as a part of the American Recovery and
Reinvestment Act of 2009 (ARRA) to promote the adoption and meaningful use
of health information technology. Portions of HITECH strengthen HIPAA rules by