FREE MEDICAL AND STUDY GAMES ABOUT REVIEW EXAM

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FREE MEDICAL AND STUDY GAMES ABOUT REVIEW EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -26 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: HIPAA was made into law in what year

Answer:

1996

Question 2: Outpatient coders focus on learning which coding manuals

Answer:

CPT, HCPCS Level II, and ICD-10-CM Question 3: When coding an operative report, what action would NOT be recommended

Answer:

Coding from the header without reading the body of the report

Question 4: MAC stands for what

Answer:

Medicare administrative Contractor

Question 5: The Medicare program is made up of several parts. Which part is most significant to coders working in physician offices and covers physician fees without the use of a private insurer

Answer:

Part B

Question 6: What is the definition of coding

Answer:

translating documentation into numerical /alphanumerical codes used to obtain reimbursement Question 7: The minimum necessary rule is based on sound current practice that protected health information should not be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean

Answer:

providers should develop safeguards to prevent unauthorized access

Question 8: EHR stands for

Answer:

electronic health records

Question 9: The minimum necessary rule applies to

Answer:

covered entities taking reasonable steps

Question 10: HIPAA stands for

Answer:

health insurance portability and accountability act

Question 11: Local coverage determinations are administered by

Answer:

each regional MAC Question 12: The describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare

Answer:

national coverage determinations manual

Question 13: Who is responsible for enforcing the HIPAA security rule

Answer:

OCR

Question 14: Many coding professionals go on to find work as

Answer:

Consultants Question 15: Healthcare providers are responsible for developing and policies and procedure regarding privacy in their practices

Answer:

notices of privacy practices

Question 16: ABN stands for

Answer:

advance beneficiary notice Question 17: When are providers responsible for obtaining an ABN for a service not considered medically necessary

Answer:

prior to providing a service or item to a beneficiary

Question 18: Technicians who specialize in coding are called

Answer:

medical coders or coding specialist Question 19: If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who determines coverage

Answer:

Medicare Administrative Contractor (MAC)

Question 20: A medical record contains information on all but what areas

Answer:

Financial records

Question 21: LCD's only have jurisdiction in their area

Answer:

regional Question 22: What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician

Answer:

physician assistant (PA) Question 23: A covered entity may obtain consent of the individual to use or disclose protected health information to carry out all but what of the following

Answer:

for public use

Question 24: National Coverage Determinations serve what purpsoe

Answer:

to spell out CMS policies on when Medicare will pay for items or services

Question 25: A covered entity does NOT include

Answer:

patient

Question 26: What does CMS-HCC stand for

Answer:

Centers for Medicare and Medicaid Services - Hierarchal Condition Category