{"id":120541,"date":"2023-09-25T15:05:39","date_gmt":"2023-09-25T15:05:39","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120541"},"modified":"2023-09-25T15:05:41","modified_gmt":"2023-09-25T15:05:41","slug":"medical-coding-training-cpc-final-exam-test-bank-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/25\/medical-coding-training-cpc-final-exam-test-bank-questions-and-answers\/","title":{"rendered":"Medical Coding Training – CPC Final Exam Test Bank – Questions And Answers"},"content":{"rendered":"\n

\uf0b7 Question 1
10 out of 10 points
What form is provided to a patient to indicate a service may not be covered by Medicare
and the patient may be responsible for the charges?
Selected
Answer:
d.
ABN
Correct
Answer:
d.
ABN
Response
Feedback:
Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare
beneficiary requests or agrees to receive a procedure or service that Medicare
may not cover. This form notifies the patient of potential out of pocket costs
for the patient.
\uf0b7 Question 2
10 out of 10 points
Which statement describes a medically necessary service?
Selected
Answer:
b.
Using the least radical service\/procedure that allows for effective treatment of
the patient\u2019s complaint or condition.
Correct
Answer:
b.
Using the least radical service\/procedure that allows for effective treatment of
the patient\u2019s complaint or condition.
Response
Feedback:
Rationale: Medical necessity is using the least radical services\/procedure that
allows for effective treatment of the patient\u2019s complaint or condition.
\uf0b7 Question 3
10 out of 10 points
What document assists provider offices with the development of Compliance Manuals?
Selected
Answer:
a.
OIG Compliance Plan Guidance
Correct
Answer:
a.
OIG Compliance Plan Guidance
Response
Feedback:
Rationale: The OIG has offered compliance program guidance to form the
basis of a voluntary compliance program for physician offices. Although this
was released in October 2000, it is still active compliance guidance today.
\uf0b7 Question 4
10 out of 10 points
Under HIPAA, what would be a policy requirement for \u201cminimum necessary\u201d?
Selected
Answer:
a.
Only individuals whose job requires it may have access to protected health
information.
Correct
Answer:
a.
Only individuals whose job requires it may have access to protected health
information.
Response
Feedback:
Rationale: It is the responsibility of a covered entity to develop and implement
policies, best suited to its particular circumstances to meet HIPAA
requirements. As a policy requirement, only those individuals whose job
requires it may have access to protected health information.
Medical Coding Training – CPC Final Exam Test Bank – Questions And Answers
1 \/ 4
\uf0b7 Question 5
10 out of 10 points
According to the example LCD from Novitas Solutions, measurement of vitamin D levels is
indicated for patients with which condition?
Selected
Answer:
b.
fibromyalgi
a
Correct
Answer:
b.
fibromyalgi
a
Response
Feedback:
Rationale: According to the LCD, measurement of vitamin D levels is
indicated for patients with fibromyalgia.
\uf0b7 Question 6
10 out of 10 points
Select the TRUE statement regarding ABNs.
Selected
Answer:
a.
ABNs may not be recognized by non-Medicare payers.
Correct
Answer:
a.
ABNs may not be recognized by non-Medicare payers.
Response
Feedback:
Rationale: ABNs may not be recognized by non-Medicare payers. Providers
should review their contracts to determine which payers will accept an ABN
for services not covered.
\uf0b7 Question 7
10 out of 10 points
Who would NOT be considered a covered entity under HIPAA?
Selected
Answer:
d.
Patients
Correct
Answer:
d.
Patients
Response
Feedback:
Rationale: Covered entities in relation to HIPAA include Health Care Providers,
Health Plans, and Health Care Clearinghouses. The patient is not considered a
covered entity although it is the patient\u2019s data that is protected.
\uf0b7 Question 8
10 out of 10 points
When presenting a cost estimate on an ABN for a potentially noncovered service, the cost
estimate should be within what range of the actual cost?
Selected
Answer:
c.
$100 or 25 percent
Correct
Answer:
c.
$100 or 25 percent
Response
Feedback:
Rationale: CMS instructions stipulate, \u201cNotifiers must make a good faith effort
to insert a reasonable estimate\u2026the estimate should be within $100 or 25
percent of the actual costs, whichever is greater.\u201d
\uf0b7 Question 9
10 out of 10 points
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
2 \/ 4
(ARRA) and affected privacy and security?
Selected
Answer:
b.
HITECH
Correct
Answer:
b.
HITECH
Response
Feedback
:
Rationale: The Health Information Technology for Economic and Clinical Health
Act (HITECH) was enacted as a part of the American Recovery and
Reinvestment Act of 2009 (ARRA) to promote the adoption and meaningful use
of health information technology. Portions of HITECH strengthen HIPAA rules by
addressing privacy and security concerns associated with the electronic
transmission of health information.
\uf0b7 Question 10
10 out of 10 points
What document is referenced to when looking for potential problem areas identified by the
government indicating scrutiny of the services within the coming year?
Selected
Answer:
c.
OIG Work Plan
Correct
Answer:
c.
OIG Work Plan
Response
Feedback:
Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for
the fiscal year ahead. Within the Work Plan, potential problem areas with
claims submissions are listed and will be targeted with special scrutiny.
Sunday, November 19, 2017 9:04:26 AM MST
\uf0b7
The minimum necessary rule applies to
Selected
Answer:
b.
Disclosures to or requests by a health care provider for treatment purposes.
Correct
Answer:
d.
Covered entities taking reasonable steps to limit use or disclosure of PHI
Response
Feedback
:
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:
\u00b7 Disclosures to or requests by a health care provider for treatment
purposes.
\u00b7 Disclosures to the individual who is the subject of the information.
\u00b7 Uses or disclosures made pursuant to an individual\u2019s authorization.
\u00b7 Uses or disclosures required for compliance with the Health Insurance
Portability and Accountability Act (HIPAA) Administrative Simplification Rules.
\u00b7 Disclosures to the Department of Health & Human Services (HHS) when
disclosure of information is required under the Privacy Rule for enforcement
purposes.
\u00b7 Uses or disclosures that are required by other law.
\uf0b7 Question 2
0 out of 4 points
According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?
3 \/ 4
Selected
Answer:
d.
Commitmen
t
Correct
Answer:
b.
Efficiency
Response
Feedback:
Rationale: It shall be the responsibility of every AAPC member, as a condition
of continued membership, to conduct themselves in all professional activities
in a manner consistent with ALL of the following ethical principles of
professional conduct:
\u00b7
\u00b7 Integrity
\u00b7 Respect
\u00b7 Commitment
\u00b7 Competence
\u00b7 Fairness
\u00b7 Responsibility
\uf0b7 Question 3
0 out of 4 points
How many components are included in an effective compliance plan?
Selected
Answer:
c.
9
Correct
Answer:
d.
7
Response
Feedback:
Rationale: The following list of components, as set forth in previous OIG
Compliance Program Guidance for Individual and Small Group Physician
Practices, can form the basis of a voluntary compliance program for a provider
practice:<\/p>\n\n\n\n