American Academy of Professional Coders

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER>>covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER>>healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? ...

Question 1 10 out of 10 points 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 Answer: Correct Answer: Response Feedback: d. ABN d. ABN Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare 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....

Coding is Correct Answer: the process of translating this written or dictated fmedical record into a series of numeric or alpha-numeric codes Proper code assignment is determined by Correct Answer: content of the medical record and by the unique rules that governs each code set what are 3 things that Coder must master Correct Answer: 1. anatomy 2. medical terminology 3. must be detail-oriented Medical coders assign a code to what Correct Answer: 1. Each diagnosis 2. service/proce...

AAPC Final Exam Test Questions/Answers: 1. In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?  2009 2. What type of insurance is Medicare Part D?  Prescription drug coverage available to all Medicare beneficiaries 3. The minimum necessary rule applies to  Covered entities taking reasonable steps to limit use or disclosure of PHI 4. EHR stands for  Electronic Health Record 5. Many coding professionals go on to find work as  Consultants ...

What does CMS-HCC stand for? Select one: a. Centers for Medicare & Medicaid Services – Hospital Correct Coding Initiative b. County Mandated Services – Heightened Control Center c. Country Mandated Services – Hospital Correct Coding Initiative d. Centers for Medicare & Medicaid Services – Hierarchal Condition Category! The correct answer is: Centers for Medicare & Medicaid Services – Hierarchal Condition Category Evaluation and management services are of...