CBCS Certification Test with 100% Correct Answers 2023

CBCS Certification Test with 100% Correct Answers 2023. What is the difference between informed and implied consent? - ANSWER-informed consent=explaining procedures or diagnosis as well as surgical intervention. implied consent=patient is voluntarily undergoes treatment, the assume consent. What is the difference between fraud and abuse? - ANSWER-fraud=intentional misrepresenting services rendered for the purpose of receiving higher pay. abuse=practices that are done unknowingly as a result of poor business practices. Disclosure refers to the way health information is what? - ANSWER-given to an outside person or organization. What is the difference between consent and authorization? - ANSWER-consent=used for treatment authorization=used to release information and not treatment. Do physicians have to legally explain privacy rules to their patients? - ANSWER-yes they are legally obligated. What do you check for when auditing? - ANSWER-review claims for accuracy and completeness. Define upcoding. - ANSWER-assigning a code that will deliberately result in a higher payment. What does the Stark Law state? - ANSWER-physicians can't refer patients to practitioners with whom they have a financial relationship. What does the Office of the Inspector General do? - ANSWER-Fights against fraud. Define Medicare. - ANSWER-for people over the age of 65 or people under 65 with disabilities and people of all ages in end-stage kidney failure. Define Medicaid. - ANSWER-pays for medical assistance for individuals who have low income and limited finiacial resources. What is the difference between primary and secondary insurance? - ANSWERprimary=pays first, some have limited coverage. if primary doesn't pay all of it, the bill is then sent to the secondary to pick up anything left over. some secondaries still do not pay all.