CPC final exam prep questions and answers well elaborated latest collection

well elaborated questions and answers guaranteed A+ score 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 d. Answer: ABN Correct d. Answer: ABN Response Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare Feedback: 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. • Question 2 10 out of 10 pointsWhich statement describes a medically necessary service? Selected Answer: b. Using the least radical service/procedure that allows for effective treatment of the patient’s complaint or condition. Correct Answer: b. Using the least radical service/procedure that allows for effective treatment of the patient’s complaint or condition. Response Rationale: Medical necessity is using the least radical services/procedure that Feedback: allows for effective treatment of the patient’s complaint or condition. • Question 3 10 out of 10 pointsWhat document assists provider offices with the development of Compliance Manuals? Selected a. Answer: OIG Compliance Plan Guidance Correct a. Answer: OIG Compliance Plan Guidance Response Rationale: The OIG has offered compliance program guidance to form the Feedback: basis of a voluntary compliance program for physician offices. Although this was released in October 2000, it is still active compliance guidance today. • Question 4 10 out of 10 pointsUnder HIPAA, what would be a policy requirement for “minimum necessary”? Selected a. Answer: Only individuals whose job requires it may have access to protected health information. Correct Answer: Response Feedback: a. Only individuals whose job requires it may have access to protected health information. 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. • 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. • Question 6 10 out of 10 pointsSelect 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. • Question 7 10 out of 10 pointsWho would NOT be considered a covered entity under HIPAA? Selected d. Answer: Patients Correct d. Answer: Patients Response Rationale: Covered entities in relation to HIPAA include Health Care Providers, Feedback: Health Plans, and Health Care Clearinghouses. The patient is not considered a covered entity although it is the patient’s data that is protected.