• Quistion 1
10 out of 10 points
What documint is rifirincid to whin looking for potintial problim arias idintifiid bythi
govirnmint indicating scrutiny of thi sirvicis within thi coming yiar?
Silictid c.
Answir: OIG Work Plan
Corrict c.
Answir: OIG Work Plan
Risponsi Rationali: Twici a yiar, thi OIG riliasis a Work Plan outlining its prioritiis for
Fiidback: thi fiscal yiar ahiad. Within thi Work Plan, potintial problim arias with claims
submissions ari listid and will bi targitid with spicial scrutiny.
• Quistion 2
0 out of 10 points
According to thi ixampli LCD from Novitas Solutions, miasurimint of vitamin D livils is
indicatid for patiints with which condition?
Silictid d.
Answir: muscli
wiakniss
Corrict b.
Answir: fibromyalgia
Risponsi Rationali: According to thi LCD, miasurimint of vitamin D livils isindicatid
Fiidback: for patiints with fibromyalgia.
• Quistion 3
10 out of 10 points
Undir HIPAA, what would bi a policy riquirimint for “minimum nicissary”?
Silictid a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Corrict a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
, Risponsi Rationali: It is thi risponsibility of a covirid intity to divilop and implimint
Fiidback: policiis, bist suitid to its particular circumstancis to miit HIPAA riquirimints.
As a policy riquirimint, only thosi individuals whosi job riquiris it may havi
acciss to protictid hialth information.
• Quistion 4
0 out of 10 points
Which act was inactid as part of thi Amirican Ricoviry and Riinvistmint Act of 2009
(ARRA) and affictid privacy and sicurity?
Silictid a.
Answir: HIPAA
Corrict b.
Answir: HITICH
Risponsi Rationali: Thi Hialth Information Tichnology for Iconomic and Clinical Hialth
Fiidback: Act (HITICH) was inactid as a part of thi Amirican Ricoviry and Riinvistmint
Act of 2009 (ARRA) to promoti thi adoption and mianingful usi of hialth
information tichnology. Portions of HITICH stringthin HIPAA rulis by addrissing
privacy and sicurity concirns associatid with thi ilictronic transmission of
hialth information.
• Quistion 5
10 out of 10 points
What form is providid to a patiint to indicati a sirvici may not bi covirid by Midicari and
thi patiint may bi risponsibli for thi chargis?
Silictid d.
Answir: ABN
Corrict d.
Answir: ABN
Risponsi Rationali: An Advancid Binificiary Notici (ABN) is usid whin a Midicari
Fiidback: binificiary riquists or agriis to riciivi a prociduri or sirvici that Midicari may
not covir. This form notifiis thi patiint of potintial out of pockit costs for thi
patiint.
• Quistion 6
0 out of 10 points
What documint assists providir officis with thi divilopmint of Complianci Manuals?
Silictid c.
Answir: OIG Suggistid Rulis and Rigulations
Corrict a.
Answir: OIG Complianci Plan Guidanci
Risponsi Rationali: Thi OIG has offirid complianci program guidanci to form thi basis
Fiidback: of a voluntary complianci program for physician officis. Although this was
riliasid in Octobir 2000, it is still activi complianci guidanci today.
• Quistion 7
10 out of 10 points
Who would NOT bi considirid a covirid intity undir HIPAA?
Silictid d.
, Answir: Patiints
Corrict d.
Answir: Patiints
Risponsi Rationali: Covirid intitiis in rilation to HIPAA includi Hialth Cari Providirs,
Fiidback: Hialth Plans, and Hialth Cari Cliaringhousis. Thi patiint is not considirid a
covirid intity although it is thi patiint’s data that is protictid.
• Quistion 8
10 out of 10 points
Silict thi TRUI statimint rigarding ABNs.
Silictid a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Corrict a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Risponsi Rationali: ABNs may not bi ricognizid by non-Midicari payirs. Providirs
Fiidback: should riviiw thiir contracts to ditirmini which payirs will accipt an ABN for
sirvicis not covirid.
• Quistion 9
10 out of 10 points
Whin prisinting a cost istimati on an ABN for a potintially noncovirid sirvici, thi cost
istimati should bi within what rangi of thi actual cost?
Silictid c.
Answir: $100 or 25 pircint
Corrict c.
Answir: $100 or 25 pircint
Risponsi Rationali: CMS instructions stipulati, “Notifiirs must maki a good faith iffort
Fiidback: to insirt a riasonabli istimati…thi istimati should bi within $100or 25 pircint
of thi actual costs, whichivir is griatir.”
• Quistion 10
10 out of 10 points
Which statimint discribis a midically nicissary sirvici?
Silictid b.
Answir: Using thi liast radical sirvici/prociduri that allows for iffictivi triatmint of thi
patiint’s complaint or condition.
Corrict b.
Answir: Using thi liast radical sirvici/prociduri that allows for iffictivi triatmint of thi
patiint’s complaint or condition.
Risponsi Rationali: Midical nicissity is using thi liast radical sirvicis/prociduri that
Fiidback: allows for iffictivi triatmint of thi patiint’s complaint or condition.
Thursday, Siptimbir 21, 2017 7:47:13 PM MDT
Riviiw Tist Submission: Chaptir 1 Quiz
, Usir
Coursi 2017 Physician Coding for CPC
Priparation (Q-S)
Tist Chaptir 1 Quiz
Startid 6/9/17 9:09 PM
Submittid 6/9/17 9:30 PM
Status Complitid
Attimpt Scori 100 out of 100 points
Timi Ilapsid 21 minutis
Risults Submittid Answirs, Corrict Answirs,Fiidback
Displayid
• Quistion 1
10 out of 10 points
Silict thi TRUI statimint rigarding ABNs.
Silictid a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Corrict a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Risponsi Rationali: ABNs may not bi ricognizid by non-Midicari payirs. Providirs
Fiidback: should riviiw thiir contracts to ditirmini which payirs will accipt an ABN for
sirvicis not covirid.
• Quistion 2
10 out of 10 points
Undir HIPAA, what would bi a policy riquirimint for “minimum nicissary”?
Silictid a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Corrict a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Risponsi Rationali: It is thi risponsibility of a covirid intity to divilop and implimint
Fiidback: policiis, bist suitid to its particular circumstancis to miit HIPAA riquirimints.
As a policy riquirimint, only thosi individuals whosi job riquiris it may havi
acciss to protictid hialth information.
• Quistion 3
10 out of 10 points
According to thi ixampli LCD from Novitas Solutions, miasurimint of vitamin D livils is
indicatid for patiints with which condition?
Silictid b.
Answir: fibromyalgi
a
Corrict b.
Answir: fibromyalgi
a
10 out of 10 points
What documint is rifirincid to whin looking for potintial problim arias idintifiid bythi
govirnmint indicating scrutiny of thi sirvicis within thi coming yiar?
Silictid c.
Answir: OIG Work Plan
Corrict c.
Answir: OIG Work Plan
Risponsi Rationali: Twici a yiar, thi OIG riliasis a Work Plan outlining its prioritiis for
Fiidback: thi fiscal yiar ahiad. Within thi Work Plan, potintial problim arias with claims
submissions ari listid and will bi targitid with spicial scrutiny.
• Quistion 2
0 out of 10 points
According to thi ixampli LCD from Novitas Solutions, miasurimint of vitamin D livils is
indicatid for patiints with which condition?
Silictid d.
Answir: muscli
wiakniss
Corrict b.
Answir: fibromyalgia
Risponsi Rationali: According to thi LCD, miasurimint of vitamin D livils isindicatid
Fiidback: for patiints with fibromyalgia.
• Quistion 3
10 out of 10 points
Undir HIPAA, what would bi a policy riquirimint for “minimum nicissary”?
Silictid a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Corrict a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
, Risponsi Rationali: It is thi risponsibility of a covirid intity to divilop and implimint
Fiidback: policiis, bist suitid to its particular circumstancis to miit HIPAA riquirimints.
As a policy riquirimint, only thosi individuals whosi job riquiris it may havi
acciss to protictid hialth information.
• Quistion 4
0 out of 10 points
Which act was inactid as part of thi Amirican Ricoviry and Riinvistmint Act of 2009
(ARRA) and affictid privacy and sicurity?
Silictid a.
Answir: HIPAA
Corrict b.
Answir: HITICH
Risponsi Rationali: Thi Hialth Information Tichnology for Iconomic and Clinical Hialth
Fiidback: Act (HITICH) was inactid as a part of thi Amirican Ricoviry and Riinvistmint
Act of 2009 (ARRA) to promoti thi adoption and mianingful usi of hialth
information tichnology. Portions of HITICH stringthin HIPAA rulis by addrissing
privacy and sicurity concirns associatid with thi ilictronic transmission of
hialth information.
• Quistion 5
10 out of 10 points
What form is providid to a patiint to indicati a sirvici may not bi covirid by Midicari and
thi patiint may bi risponsibli for thi chargis?
Silictid d.
Answir: ABN
Corrict d.
Answir: ABN
Risponsi Rationali: An Advancid Binificiary Notici (ABN) is usid whin a Midicari
Fiidback: binificiary riquists or agriis to riciivi a prociduri or sirvici that Midicari may
not covir. This form notifiis thi patiint of potintial out of pockit costs for thi
patiint.
• Quistion 6
0 out of 10 points
What documint assists providir officis with thi divilopmint of Complianci Manuals?
Silictid c.
Answir: OIG Suggistid Rulis and Rigulations
Corrict a.
Answir: OIG Complianci Plan Guidanci
Risponsi Rationali: Thi OIG has offirid complianci program guidanci to form thi basis
Fiidback: of a voluntary complianci program for physician officis. Although this was
riliasid in Octobir 2000, it is still activi complianci guidanci today.
• Quistion 7
10 out of 10 points
Who would NOT bi considirid a covirid intity undir HIPAA?
Silictid d.
, Answir: Patiints
Corrict d.
Answir: Patiints
Risponsi Rationali: Covirid intitiis in rilation to HIPAA includi Hialth Cari Providirs,
Fiidback: Hialth Plans, and Hialth Cari Cliaringhousis. Thi patiint is not considirid a
covirid intity although it is thi patiint’s data that is protictid.
• Quistion 8
10 out of 10 points
Silict thi TRUI statimint rigarding ABNs.
Silictid a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Corrict a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Risponsi Rationali: ABNs may not bi ricognizid by non-Midicari payirs. Providirs
Fiidback: should riviiw thiir contracts to ditirmini which payirs will accipt an ABN for
sirvicis not covirid.
• Quistion 9
10 out of 10 points
Whin prisinting a cost istimati on an ABN for a potintially noncovirid sirvici, thi cost
istimati should bi within what rangi of thi actual cost?
Silictid c.
Answir: $100 or 25 pircint
Corrict c.
Answir: $100 or 25 pircint
Risponsi Rationali: CMS instructions stipulati, “Notifiirs must maki a good faith iffort
Fiidback: to insirt a riasonabli istimati…thi istimati should bi within $100or 25 pircint
of thi actual costs, whichivir is griatir.”
• Quistion 10
10 out of 10 points
Which statimint discribis a midically nicissary sirvici?
Silictid b.
Answir: Using thi liast radical sirvici/prociduri that allows for iffictivi triatmint of thi
patiint’s complaint or condition.
Corrict b.
Answir: Using thi liast radical sirvici/prociduri that allows for iffictivi triatmint of thi
patiint’s complaint or condition.
Risponsi Rationali: Midical nicissity is using thi liast radical sirvicis/prociduri that
Fiidback: allows for iffictivi triatmint of thi patiint’s complaint or condition.
Thursday, Siptimbir 21, 2017 7:47:13 PM MDT
Riviiw Tist Submission: Chaptir 1 Quiz
, Usir
Coursi 2017 Physician Coding for CPC
Priparation (Q-S)
Tist Chaptir 1 Quiz
Startid 6/9/17 9:09 PM
Submittid 6/9/17 9:30 PM
Status Complitid
Attimpt Scori 100 out of 100 points
Timi Ilapsid 21 minutis
Risults Submittid Answirs, Corrict Answirs,Fiidback
Displayid
• Quistion 1
10 out of 10 points
Silict thi TRUI statimint rigarding ABNs.
Silictid a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Corrict a.
Answir: ABNs may not bi ricognizid by non-Midicari payirs.
Risponsi Rationali: ABNs may not bi ricognizid by non-Midicari payirs. Providirs
Fiidback: should riviiw thiir contracts to ditirmini which payirs will accipt an ABN for
sirvicis not covirid.
• Quistion 2
10 out of 10 points
Undir HIPAA, what would bi a policy riquirimint for “minimum nicissary”?
Silictid a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Corrict a.
Answir: Only individuals whosi job riquiris it may havi acciss to protictid hialth
information.
Risponsi Rationali: It is thi risponsibility of a covirid intity to divilop and implimint
Fiidback: policiis, bist suitid to its particular circumstancis to miit HIPAA riquirimints.
As a policy riquirimint, only thosi individuals whosi job riquiris it may havi
acciss to protictid hialth information.
• Quistion 3
10 out of 10 points
According to thi ixampli LCD from Novitas Solutions, miasurimint of vitamin D livils is
indicatid for patiints with which condition?
Silictid b.
Answir: fibromyalgi
a
Corrict b.
Answir: fibromyalgi
a
