AAPC - CPC Chapter 1 The Business of Medicine Final
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exam with correct answers
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Under |HIPAA, |what |would |be |a |policy |requirement |for |minimum |necessary? |- |correct |answer |
Only |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 |(ARRA) |of |
2009 |and |affected |privacy |and |security? |- |correct |answer |HITECH
What |document |assists |provider |offices |with |the |development |of |compliance |manuals? |- |
correct |answer |OIG |Compliance |Plan |Guidance
What |type |of |profession, |other |than |coding, |might |skilled |coders |enter? |- |correct |answer |
Consultants, |educators, |and |medical |auditors
What |is |the |difference |between |outpatient |and |inpatient |coding? |- |correct |answer |Inpatient |
coders |use |ICD-10-CM |and |ICD-10-PCS
What |are |the |different |parts |of |Medicare? |- |correct |answer |Parts |A,B,C, |and |D
Evaluation |and |Management |(E/M) |services |are |often |provided |and |documented |in |a |standard
|SOAP |format. |What |does |SOAP |represent? |- |correct |answer |Subjective
Objective
Assessment
Plan
What |are |5 |tips |for |coding |operative |reports? |- |correct |answer |Diagnosis |code |reporting
Start |with |procedures |listed
Look |for |key |words
, Highlight |unfamiliar |words
Read |the |body
What |is |medical |necessity? |- |correct |answer |Relates |to |whether |a |procedure |or |service |is |
considered |appropriate |in |a |given |circumstance
What |is |NOT |a |common |reason |Medicare |may |deny |a |procedure |or |service? |- |correct |answer |
Covered |service
Which |is |NOT |one |of |the |seven |key |components |of |an |internal |compliance |plan? |- |correct |
answer |Conduct |training |but |not |perform |education |on |practice |standards |and |procedures
What |is |the |value |of |a |remittance |advice? |- |correct |answer |It |states |what |will |be |paid |and |why
|any |changes |to |charges |were |made
The |____________ |describes |whether |specific |medical |items, |services, |treatment |procedures |
or |technologies |are |considered |medically |necessary |under |Medicare? |- |correct |answer |
National |Coverage |Determinations |Manual
Which |option |is |NOT |a |covered |entity |under |HIPAA? |- |correct |answer |Workers' |Compensation
What |type |of |insurance |is |Medicare |Part |D? |- |correct |answer |Prescription |drug |coverage |
available |to |all |Medicare |beneficiaries
According |to |AAPC's |Code |of |Ethics, |an |AAPC |member |shall |use |only |_______ |and |_______ |
means |in |all |professional |dealings? |- |correct |answer |Legal |and |ethical
Voluntary |compliance |programs |also |provide |benefits |by |not |only |helping |to |prevent |
erroneous |or |_________, |but |also |by |showing |that |the |provider |is |making |additional |good |
faith |efforts |to |submit |claims |appropriately? |- |correct |answer |Fraudulent |claims
| | | | | | | | || |
exam with correct answers
| | |
Under |HIPAA, |what |would |be |a |policy |requirement |for |minimum |necessary? |- |correct |answer |
Only |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 |(ARRA) |of |
2009 |and |affected |privacy |and |security? |- |correct |answer |HITECH
What |document |assists |provider |offices |with |the |development |of |compliance |manuals? |- |
correct |answer |OIG |Compliance |Plan |Guidance
What |type |of |profession, |other |than |coding, |might |skilled |coders |enter? |- |correct |answer |
Consultants, |educators, |and |medical |auditors
What |is |the |difference |between |outpatient |and |inpatient |coding? |- |correct |answer |Inpatient |
coders |use |ICD-10-CM |and |ICD-10-PCS
What |are |the |different |parts |of |Medicare? |- |correct |answer |Parts |A,B,C, |and |D
Evaluation |and |Management |(E/M) |services |are |often |provided |and |documented |in |a |standard
|SOAP |format. |What |does |SOAP |represent? |- |correct |answer |Subjective
Objective
Assessment
Plan
What |are |5 |tips |for |coding |operative |reports? |- |correct |answer |Diagnosis |code |reporting
Start |with |procedures |listed
Look |for |key |words
, Highlight |unfamiliar |words
Read |the |body
What |is |medical |necessity? |- |correct |answer |Relates |to |whether |a |procedure |or |service |is |
considered |appropriate |in |a |given |circumstance
What |is |NOT |a |common |reason |Medicare |may |deny |a |procedure |or |service? |- |correct |answer |
Covered |service
Which |is |NOT |one |of |the |seven |key |components |of |an |internal |compliance |plan? |- |correct |
answer |Conduct |training |but |not |perform |education |on |practice |standards |and |procedures
What |is |the |value |of |a |remittance |advice? |- |correct |answer |It |states |what |will |be |paid |and |why
|any |changes |to |charges |were |made
The |____________ |describes |whether |specific |medical |items, |services, |treatment |procedures |
or |technologies |are |considered |medically |necessary |under |Medicare? |- |correct |answer |
National |Coverage |Determinations |Manual
Which |option |is |NOT |a |covered |entity |under |HIPAA? |- |correct |answer |Workers' |Compensation
What |type |of |insurance |is |Medicare |Part |D? |- |correct |answer |Prescription |drug |coverage |
available |to |all |Medicare |beneficiaries
According |to |AAPC's |Code |of |Ethics, |an |AAPC |member |shall |use |only |_______ |and |_______ |
means |in |all |professional |dealings? |- |correct |answer |Legal |and |ethical
Voluntary |compliance |programs |also |provide |benefits |by |not |only |helping |to |prevent |
erroneous |or |_________, |but |also |by |showing |that |the |provider |is |making |additional |good |
faith |efforts |to |submit |claims |appropriately? |- |correct |answer |Fraudulent |claims
