AAPC FINAL EXAM|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

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? ABN Under HIPAA what would be a policy requirement for "minimum necessary"? Only individuals whos job requires it may have access to protected health information What document is referenced to when looking for potential problem areas indentified by the government indicating scrutiny of the service? OIG work plan Select the true statement regarding ABNs A. ABNs may not be recognized by non medicare payers Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA) and affected privacy and security? HITECH When presenting a cost estimate of an ABN for potentially non covered service, the cost estimate should be written what range of the actual cost? $100 or 25% According to the example LCD from novitas solutions, which of the following conditions is considered a systematic condition that may result in the need for routine foot care? Chronic Venous Insufficiency Who would NOT be considered a covered enity under HIPAA Patients What document assists provider offices with the development of compliance manuals? OIG complaince program guidance Which statement describes a medically necessary service? Using the least radical service/ procedures that allow for effective treatment of the patient's complaints or condition What type of profession, other than coding, might skilled coders enter? Consultants, educators, medical auditors What is the difference between outpatient and inpatient coding? Inpatient coders use ICD-10-CM and ICD-10-PCS What is a mid level provider? mid-level providers include physician assistants (PA) and nurse practitioners (NP) What one is the difference parts of medicare? Part A,B,C,D Evaluation and Management (E/M) services are often provided and documented in a standard format. One such as SOAP notes. What does SOAP represent? Subjective, Objective, Assessment, Plan What are five tips for coding operative (OP) reports diagnosis code reporting, Start with the procedures listed, Look for key words, highlight unfamiliar words, read the body What is medical necessity? Relates to whether a procedure or service is considered appropriate in a given circumstance. What is NOT a common reason medicare may deny a procedure or service? covered service Under the Privacy rulem the minimum necessary standard does not apply to what type of disclosures? Disclosures to the individual who is the subject of the information Which is NOT one of the seven key components of internal complaince plan? Conduct training but not perform education on practice standards and procedures ABN stands for? Advance Beneficiary Notice What does the abbreviation MAC stand for? Medicare Administration Contractor The OIG recommends that provider practices enforce disciplinary actions through well publicized compliance guidelines to ensure actions that are? Consistent and appropriate