CPC Exam Questions and Answers |Verified
CPC Exam Questions and Answers |Verified Hospital employee who converts documented procedures and diagnoses into medical codes {{Ans- Abstractor Coding practices that lead to improper reimbursement by error because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance {{Ans- Abuse An examination process the healthcare facility goes through to evaluate the facilities policies, procedures, and performance to meet higher standards. {{Ans- Accreditation Having seal of approval after being evaluated and demonstrating quality standards {{Ans- Accredited Legislation passed through Congress and signed by President or passed over his veto {{Ans- Act/ Law/ Statute The amount the provider charges for medical services or supplies. Not always paid in full. {{Ans- Actual Charge Health care services not covered by Medicare and are offered through the Medicare Advantage Organization for no additional premium. The benefits must equal the ACR (Adjusted Community Rating) {{Ans- Additional Benefits
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cpc exam questions and answers |verified 2022 2023
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coding practices that lead to improper reimbursement by error because they do not meet medical necessity
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ex changing diagnosis to be covered by ins
