CRC Exam Chapter 1 with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
Who are covered entities according to HIPAA? ✔Correct Answer-Health Care Providers
Health Plans
Health Care Clearinghouses
Risk Adjustment Coders should have knowledge in? ✔Correct Answer-The use of medications,
treatments of the patient, and diagnostic testing.
What document assists provider offices with the development of Compliance Manuals? ✔Correct
Answer-OIG Compliance Plan Guidance
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.
What is medical necessity? ✔Correct Answer-using 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? ✔Correct Answer-ICD-10-CM
What document is referred to when looking for potential problem areas identified by the
government indicating scrutiny of the services? ✔Correct Answer-OIG Work Plan
What act was enacted as part of the American Recovery and Reinvestment Act of 2009 (AARA) and
affected privacy and security? ✔Correct Answer-HITECH (Health Information Technology for
Economic and Clinical Health Act)
Which insurance is the primary government payer in the United States? ✔Correct Answer-
Medicare
What is the benefit of electronic transactions? ✔Correct Answer-Timely submissions of claims
HIPPA is a ____ part act. ✔Correct Answer-5
Which HIPPA Act is t he most concerning to the position of a medical coder? ✔Correct Answer-Title
II-Administrative Simplification
The Medicare program is made up of several parts. Which part covers provider fees without the use
of a private insurer? ✔Correct Answer-Part B
What does HIPAA stand for? ✔Correct Answer-Health Insurance Portability and Accountability Act
of 1996
What factors remain the same from year to year in risk adjustment? ✔Correct Answer-1-Health
plans are protected from the risk of attracting a disproportionate number of unhealthy enrollees.
2-Health plans are discouraged from marketing to only to healthier, less costly potential members.
3-Risk adjustment is a permanent program.
Answers |Latest Version |Already Graded A+
Who are covered entities according to HIPAA? ✔Correct Answer-Health Care Providers
Health Plans
Health Care Clearinghouses
Risk Adjustment Coders should have knowledge in? ✔Correct Answer-The use of medications,
treatments of the patient, and diagnostic testing.
What document assists provider offices with the development of Compliance Manuals? ✔Correct
Answer-OIG Compliance Plan Guidance
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.
What is medical necessity? ✔Correct Answer-using 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? ✔Correct Answer-ICD-10-CM
What document is referred to when looking for potential problem areas identified by the
government indicating scrutiny of the services? ✔Correct Answer-OIG Work Plan
What act was enacted as part of the American Recovery and Reinvestment Act of 2009 (AARA) and
affected privacy and security? ✔Correct Answer-HITECH (Health Information Technology for
Economic and Clinical Health Act)
Which insurance is the primary government payer in the United States? ✔Correct Answer-
Medicare
What is the benefit of electronic transactions? ✔Correct Answer-Timely submissions of claims
HIPPA is a ____ part act. ✔Correct Answer-5
Which HIPPA Act is t he most concerning to the position of a medical coder? ✔Correct Answer-Title
II-Administrative Simplification
The Medicare program is made up of several parts. Which part covers provider fees without the use
of a private insurer? ✔Correct Answer-Part B
What does HIPAA stand for? ✔Correct Answer-Health Insurance Portability and Accountability Act
of 1996
What factors remain the same from year to year in risk adjustment? ✔Correct Answer-1-Health
plans are protected from the risk of attracting a disproportionate number of unhealthy enrollees.
2-Health plans are discouraged from marketing to only to healthier, less costly potential members.
3-Risk adjustment is a permanent program.
