Chapter 1- The Business of Medicine
with questions and answers written
correcly
Which was enacted as a part of the American Recovery and Reinvestment Act of 2009 (ARRA) and
affected privacy and security? - correct answer.💖💖💖💖✔<<<<<HITECH
Select the TRUE statement regarding ABNs.
* ABNs may not be recognized by non-Medicare payers.
* ABNs must be signed for emergency or urgent care.
* ABNs should be routinely signed by Medicare Beneficiaries in case Medicare doesn't cover a service.
* ABNs are not required to include an estimate cost for the service. - correct
answer.💖💖💖💖✔<<<<<ABNs may not be recognized by non-Medicare payers
What document is referred to when looking for potential problem areas identified by the government
indicating scrutiny of the services within the coming year? - correct answer.💖💖💖💖✔<<<<<OIG
Work Plan
Which statement describes a medically necessary service?
* Using the appropriate course of treatment to fit within the patient's lifestyle.
* Using the closest facility to perform a service procedure.
* Performing a procedure/service based on cost to eliminate wasteful services.
, * Using the least radical service/procedure that allows for effective treatment of the patient's complaint
or condition. - correct answer.💖💖💖💖✔<<<<<Using the least radical service/procedure that
allows for effective treatment of the patients complaint or condition.
What would not be considered a covered entity under HIPAA?
* HMOs
* Clearinghouses
* Doctors
* Patients - correct answer.💖💖💖💖✔<<<<<Patients
Under HIPAA, what would be a policy requirement for "minimum necessary"?
* Only the treating provider has access to protected health information.
* Only the patient has access to his or her own protected health information.
* Anyone within the provider's office can have access to protected health information.
* Only individuals whose job requires it may have access to protected health information. - correct
answer.💖💖💖💖✔<<<<<Only individuals whose job requires it may have access to protected
health information.
When presenting a cost estimate on an ABN for a potentially non-covered service, the cost estimate
should be within what range of the actual cost? - correct answer.💖💖💖💖✔<<<<<$100 or 25%
According to the example LCD from Novitas Solutions, measurement of vitamin D levels is indicated for
patients with which condition?
* Hypoparathyroidism
* Fibromyalgia
* Muscle weakness
* Fatigue - correct answer.💖💖💖💖✔<<<<<Fibromyalgia
with questions and answers written
correcly
Which was enacted as a part of the American Recovery and Reinvestment Act of 2009 (ARRA) and
affected privacy and security? - correct answer.💖💖💖💖✔<<<<<HITECH
Select the TRUE statement regarding ABNs.
* ABNs may not be recognized by non-Medicare payers.
* ABNs must be signed for emergency or urgent care.
* ABNs should be routinely signed by Medicare Beneficiaries in case Medicare doesn't cover a service.
* ABNs are not required to include an estimate cost for the service. - correct
answer.💖💖💖💖✔<<<<<ABNs may not be recognized by non-Medicare payers
What document is referred to when looking for potential problem areas identified by the government
indicating scrutiny of the services within the coming year? - correct answer.💖💖💖💖✔<<<<<OIG
Work Plan
Which statement describes a medically necessary service?
* Using the appropriate course of treatment to fit within the patient's lifestyle.
* Using the closest facility to perform a service procedure.
* Performing a procedure/service based on cost to eliminate wasteful services.
, * Using the least radical service/procedure that allows for effective treatment of the patient's complaint
or condition. - correct answer.💖💖💖💖✔<<<<<Using the least radical service/procedure that
allows for effective treatment of the patients complaint or condition.
What would not be considered a covered entity under HIPAA?
* HMOs
* Clearinghouses
* Doctors
* Patients - correct answer.💖💖💖💖✔<<<<<Patients
Under HIPAA, what would be a policy requirement for "minimum necessary"?
* Only the treating provider has access to protected health information.
* Only the patient has access to his or her own protected health information.
* Anyone within the provider's office can have access to protected health information.
* Only individuals whose job requires it may have access to protected health information. - correct
answer.💖💖💖💖✔<<<<<Only individuals whose job requires it may have access to protected
health information.
When presenting a cost estimate on an ABN for a potentially non-covered service, the cost estimate
should be within what range of the actual cost? - correct answer.💖💖💖💖✔<<<<<$100 or 25%
According to the example LCD from Novitas Solutions, measurement of vitamin D levels is indicated for
patients with which condition?
* Hypoparathyroidism
* Fibromyalgia
* Muscle weakness
* Fatigue - correct answer.💖💖💖💖✔<<<<<Fibromyalgia
