AAPC - Chapter 1 Review Exam 2025

AAPC - Chapter 1 Review Exam 2025 What type of health insurance provides coverage for low-income families? - answer Medicaid Rationale: Medicaid is a health insurance assistance program for some low-income people (especially children and pregnant women) sponsored by federal and state governments. The minimum necessary rule applies to - answer-Covered entities taking reasonable steps to limit use or disclosure of PHI Rationale: The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or disclosure of, and requests for, protected health information to the minimum necessary to accomplish the intended purpose. The minimum necessary standard does not apply to the following: · Disclosures to or requests by a health care provider for treatment purposes. · Disclosures to the individual who is the subject of the information. · Uses or disclosures made pursuant to an individual's authorization. · Uses or disclosures required for compliance with the Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Rules. · Disclosures to the Department of Health & Human Services (HHS) when disclosure of information is required under the Privacy Rule for enforcement purposes. · Uses or disclosures that are required by other law. Which type of information is NOT maintained in a medical record? - answer-Financial records Rationale: Every time a patient receives health care, a record is maintained of the observations, medical or surgical interventions and treatment outcomes. Administrative data, such as financial records, should not be included in the medical record or provided in response to a subpoena or request for health records. Which of the following is a BENEFIT of electronic transactions? - answer-Timely submission of claims Rationale: Electronic claims benefit the provider office by allowing timely submissions to the insurance carrier and proof of transmission of the claims.