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[Montrer plus]What document is referenced to when looking for potentialproblem areas identified by 
the government indicatingscrutiny of the services within the coming year?: 
A) OIG Compliance Plan Guidance 
B) OIG Security Summary 
C) OIG Work Plan 
D) OIG Investigation Plan - C (Rationale: Twice a year, the OI...
Aperçu 2 sur 8 pages
Ajouter au panierWhat document is referenced to when looking for potentialproblem areas identified by 
the government indicatingscrutiny of the services within the coming year?: 
A) OIG Compliance Plan Guidance 
B) OIG Security Summary 
C) OIG Work Plan 
D) OIG Investigation Plan - C (Rationale: Twice a year, the OI...
When coding in operative report what action would NOT be recommended? - 
Coding from the header with out reading the body of the report 
If an NCD doesn't exist for a particular service/procedure performed on a Medicare 
patient who determines coverage? - Medicare administrative contractor (MAC) 
M...
Aperçu 2 sur 8 pages
Ajouter au panierWhen coding in operative report what action would NOT be recommended? - 
Coding from the header with out reading the body of the report 
If an NCD doesn't exist for a particular service/procedure performed on a Medicare 
patient who determines coverage? - Medicare administrative contractor (MAC) 
M...
A 46-year-old female had a previous biopsy that indicated positive malignant margins 
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade 
scalpel was used for full excision of an 8 cm lesion. Layered closure was performed 
after the removal. The specimen was sent ...
Aperçu 4 sur 51 pages
Ajouter au panierA 46-year-old female had a previous biopsy that indicated positive malignant margins 
anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade 
scalpel was used for full excision of an 8 cm lesion. Layered closure was performed 
after the removal. The specimen was sent ...
Evaluation and management services are often provided in a standard format such as 
SOAP notes. What does the acronym SOAP stand for? 
a. 
Scope, Observation, Action, Plan 
b. 
Standard, Objective, Activity, Period 
c. 
Source, Opinion, Advice, Provider 
d. 
Subjective, Objective, Assessment, Plan -...
Aperçu 2 sur 10 pages
Ajouter au panierEvaluation and management services are often provided in a standard format such as 
SOAP notes. What does the acronym SOAP stand for? 
a. 
Scope, Observation, Action, Plan 
b. 
Standard, Objective, Activity, Period 
c. 
Source, Opinion, Advice, Provider 
d. 
Subjective, Objective, Assessment, Plan -...
A covered entity does NOT include 
a. Healthcare providers 
b. Health plans 
c. Patients 
d. Clearinghouses - c. Patients 
What does MAC stands for? 
a. Medicare Administrative Contractor 
b. Medicare Advisory Contractor 
c. Medicaid Administrative Contractor 
d. Medicaid Alert Contractor - a. Medic...
Aperçu 3 sur 22 pages
Ajouter au panierA covered entity does NOT include 
a. Healthcare providers 
b. Health plans 
c. Patients 
d. Clearinghouses - c. Patients 
What does MAC stands for? 
a. Medicare Administrative Contractor 
b. Medicare Advisory Contractor 
c. Medicaid Administrative Contractor 
d. Medicaid Alert Contractor - a. Medic...
Which type of information is not maintained in a medical record? 
a. observations 
b. medical or surgical interventions 
c. Treatment outcomes 
d. Financial records - d. Financial records 
EHR stands for: 
a. Extended health record 
b. Electronic health response 
c. Electronic health record 
d. Esta...
Aperçu 2 sur 7 pages
Ajouter au panierWhich type of information is not maintained in a medical record? 
a. observations 
b. medical or surgical interventions 
c. Treatment outcomes 
d. Financial records - d. Financial records 
EHR stands for: 
a. Extended health record 
b. Electronic health response 
c. Electronic health record 
d. Esta...
Local Coverage Determinations are administered by whom? 
a. State Law 
b. NCDs 
c. Each regional MAC 
d. LMRPs - c. Each regional MAC 
ABN stands for _____. 
a. Advanced Benefits Notification 
b. Advisory Beneficial Notice 
c. Admitting Beneficiary Notice 
d. Advance Beneficiary Notice - d. Advance ...
Aperçu 3 sur 23 pages
Ajouter au panierLocal Coverage Determinations are administered by whom? 
a. State Law 
b. NCDs 
c. Each regional MAC 
d. LMRPs - c. Each regional MAC 
ABN stands for _____. 
a. Advanced Benefits Notification 
b. Advisory Beneficial Notice 
c. Admitting Beneficiary Notice 
d. Advance Beneficiary Notice - d. Advance ...
C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the 
fiscal year ahead. Within the Work Plan, potential problem areas with claims 
submissions are listed and will be targeted with special scrutiny.) - What document 
is referenced to when looking for potential pr...
Aperçu 2 sur 8 pages
Ajouter au panierC (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the 
fiscal year ahead. Within the Work Plan, potential problem areas with claims 
submissions are listed and will be targeted with special scrutiny.) - What document 
is referenced to when looking for potential pr...
Under HIPAA, what would be a policy requirement for minimum necessary? - Only 
individuals whose job requires it may have access to protected health information 
Which Act was enacted as part of the American Recovery and Reinvestment Act 
(ARRA) of 2009 and affected privacy and security? - HITECH 
W...
Aperçu 2 sur 11 pages
Ajouter au panierUnder HIPAA, what would be a policy requirement for minimum necessary? - Only 
individuals whose job requires it may have access to protected health information 
Which Act was enacted as part of the American Recovery and Reinvestment Act 
(ARRA) of 2009 and affected privacy and security? - HITECH 
W...
A - A patient with hypertension is scheduled for same day surgery for removal of her 
gallbladder due to chronic gallstones. She is examined preoperatively by her 
cardiologist to be cleared for surgery. 
What ICD-10-CM codes are reported by the cardiologist? 
A) Z01.810, K80.20, I10 
B) I10, Z01.81...
Aperçu 3 sur 20 pages
Ajouter au panierA - A patient with hypertension is scheduled for same day surgery for removal of her 
gallbladder due to chronic gallstones. She is examined preoperatively by her 
cardiologist to be cleared for surgery. 
What ICD-10-CM codes are reported by the cardiologist? 
A) Z01.810, K80.20, I10 
B) I10, Z01.81...
f10.21 (Alcohol dependence, in remission) - ICD-10-CM code for Personal History of 
Alcohol Dependence 
T51.0X2 (Toxic effect of ethanol, intentional self-harm) - ICD-10-CM code for 
Suicide Attempt using Absinthe 
False (Never primary, and always follow another code) - True or false: External 
Caus...
Aperçu 2 sur 10 pages
Ajouter au panierf10.21 (Alcohol dependence, in remission) - ICD-10-CM code for Personal History of 
Alcohol Dependence 
T51.0X2 (Toxic effect of ethanol, intentional self-harm) - ICD-10-CM code for 
Suicide Attempt using Absinthe 
False (Never primary, and always follow another code) - True or false: External 
Caus...
D - A patient is diagnosed with pressure ulcers on each heel. Each heel displays 
bone involvement with no evidence of necrosis. Select the diagnosis code(s). 
A) L97.406 
B) L89.619 
C) L89.610, L89.620 
D) L89.619, L89.629 
C - A patient with age-related osteoporosis suffers a pathologic fracture ...
Aperçu 3 sur 19 pages
Ajouter au panierD - A patient is diagnosed with pressure ulcers on each heel. Each heel displays 
bone involvement with no evidence of necrosis. Select the diagnosis code(s). 
A) L97.406 
B) L89.619 
C) L89.610, L89.620 
D) L89.619, L89.629 
C - A patient with age-related osteoporosis suffers a pathologic fracture ...
Many coding professionals go on to find work as: - Consultant 
A medical record contains information on all but what areas? - Financial records 
Technicians who specialize in coding are called: - Coding specialists 
EHR stands for: - Electronic health record 
What type of provider goes through appro...
Aperçu 1 sur 4 pages
Ajouter au panierMany coding professionals go on to find work as: - Consultant 
A medical record contains information on all but what areas? - Financial records 
Technicians who specialize in coding are called: - Coding specialists 
EHR stands for: - Electronic health record 
What type of provider goes through appro...
Local Coverage Determinations are administered by whom? 
a. State Law 
b. NCDs 
c. Each regional MAC 
d. LMRPs - c. Each regional MAC 
ABN stands for _____. 
a. Advanced Benefits Notification 
b. Advisory Beneficial Notice 
c. Admitting Beneficiary Notice 
d. Advance Beneficiary Notice - d. Advance ...
Aperçu 4 sur 32 pages
Ajouter au panierLocal Coverage Determinations are administered by whom? 
a. State Law 
b. NCDs 
c. Each regional MAC 
d. LMRPs - c. Each regional MAC 
ABN stands for _____. 
a. Advanced Benefits Notification 
b. Advisory Beneficial Notice 
c. Admitting Beneficiary Notice 
d. Advance Beneficiary Notice - d. Advance ...
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