PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ LCDs only have jurisdiction in their ____.
Answer: Region
Rationale: LCDs only have jurisdiction within their region.
◉ When coding an operative report, what action would NOT be
recommended?
Answer: Coding from the header without reading the body of the report.
Rationale: Operative report coding tips include reviewing the
documentation in the detail of the procedure to further clarify or define
both procedures and diagnoses.
◉ The OIG recommends that provider practices enforce disciplinary
actions through well publicized compliance guidelines to ensure actions
that are ______.
Answer: Consistent and appropriate
Rationale: The OIG recommends that a provider practice's enforcement
and disciplinary mechanisms ensure that violations of the practice's
compliance policies will result in consistent and appropriate sanctions,
including the possibility of termination, against the offending individual.
, ◉ Which of the following choices is NOT a benefit of an active
compliance plan?
Answer: Eliminates risk of an audit.
Rationale: Although voluntary, a compliance plan may offer several
benefits, among them:
• Faster, more accurate payment of claims.
• Fewer billing mistakes.
• Diminished chances of a payer audit.
• Less chance of violating self-referral and anti-kickback statutes.
Additionally, the increased accuracy of provider documentation that may
result from a compliance program actually may assist in enhancing
patient care.
◉ Healthcare providers are responsible for developing ____ ____ and
policies and procedures regarding privacy in their practices.
Answer: Notices of Privacy Practices
Rationale: Healthcare providers are responsible for developing Notices
of Privacy Practices and policies and procedures regarding privacy in
their practices.
◉ What type of health insurance provides coverage for low-income
families?