FREE AND STUDY GAMES ABOUT CH1 TEST EXAM

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FREE AND STUDY GAMES ABOUT CH1 TEST EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -35 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Who is responsible for enforcing the HIPAA security rule?

Answer:

The Office for Civil Rights (OCR) enforces the HIPAA Security Rule.Question 2: 20. 20. What form is used to submit a provider's charge to the insurance carrier?

Answer:

CMS-1500

Question 3: 8. Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or ____, but also by showing that the provider practice is making additional good faith efforts to submit claims appropriately.

Answer:

fraudulent claims

Question 4: What is the value of a remittance advice?

Answer:

It states what will be paid and why any changes to charges were made.

Question 5: If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage?

Answer:

Medicare Administrative Contractor (MAC) Question 6: 1. When coding an operative report, what action would NOT be recommended?

Answer:

Coding from the header without reading the body of the report.Question 7: In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?

Answer:

2009 Question 8: 15. What type of health insurance provides coverage for low-income families?

Answer:

Medicaid

Question 9: 12. What type of insurance is Medicare Part D?

Answer:

Prescription drug coverage available to all Medicare beneficiaries.Question 10: 17. The AAPC offers over 500 local chapters across the country for the purpose of

Answer:

Continuing education and networking

Question 11: 4. Local Coverage Determinations are administered by whom?

Answer:

Each regional MAC

Question 12: 11. Which coding manuals do outpatient coders focus on learning?

Answer:

CPT®, HCPCS Level II and ICD-10-CM

Question 13: What is PHI?

Answer:

Protected health information Question 14: 13. Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for?

Answer:

Subjective, Objective, Assessment, Plan

Question 15: 23. LCDs only have jurisdiction in their ____.

Answer:

region

Question 16: 14. What will the scope of a compliance program depend on?

Answer:

• The size and resources of the provider's practice

Question 17: 22. The OIG recommends that provider practices enforce disciplinary actions through well publicized compliance guidelines to ensure actions that are ______.

Answer:

Consistent and appropriate

Question 18: What is the purpose of National Coverage Determinations?

Answer:

To explain CMS policies on when Medicare will pay for items or services

Question 19: 16. What does CMS-HCC stand for?

Answer:

• Centers for Medicare & Medicaid Services - Hierarchal Condition Category

Question 20: 9. HITECH provides a ____ day window during which any violation not due to willful neglect may be corrected without penalty.

Answer:

30

Question 21: 6. According to the OIG, internal monitoring and auditing should be performed by what means?

Answer:

periodic audits Question 22: 21. The Medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer?

Answer:

Part B Question 23: Professionals who specialize in coding are called:

Answer:

Coding specialists

Question 24: 10. Which provider is NOT a mid-level provider?

Answer:

Anesthesiologist Question 25: 25. Healthcare providers are responsible for developing ____ ____ and policies and procedures regarding privacy in their practices.

Answer:

notices of privacy practices Question 26: 7. Which CMS product describes whether specific medical items, services, treatment procedures or technologies are considered medically necessary under Medicare?

Answer:

National Coverage Determinations Manual Question 27: 2. A covered entity may obtain consent from an individual to use or disclose protected health information to carry out all of the following EXCEPT what?

Answer:

Research