AAPC CPB Final Exam Questions And Answers. Verified and Updated.
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AAPC CPB
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AAPC CPB
AAPC CPB Final Exam Questions And
Answers. Verified and Updated.
Covered entity - answerHealth plan, clearinghouses, and any entity transmitting health
information is considered by the Privacy Rule to be a:
healthcare consulting firm - answerWhich of the following is not a covered entity in the...
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM AAPC CPB Final Exam Questions And Answers. Verified and Updated. Covered entity - answer✔✔Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - answer✔✔Which of the following is not a covered entity in the Privacy Rule release reqt to ins co - answer✔✔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? 12 - answer✔✔How many national priority purposes under the Privacy Rules for disclosure of specific PHI without an individual's authorization or permission? no - answer✔✔A health plan sends a request for medical reco rds in order to adjudicate a claim. Does the office have to notify the patient or have them sign a release to send the information? Truth in Lending Act - answer✔✔A practice sets up a payment plan with a patient. If more than four installments are extended to the patient, what regulation is the practice subject to that makes the practice a creditor? workers comp - answer✔✔Which of the following situations allows release of PHI without authorization from the patient? abuse - answer✔✔Entities that have been identified as having improper billing practices is defined by CMS as a violation of what standard? abuse - answer✔✔misusing any infor mation on the claim, charging excessively for services or supplies, billing for services not medically necessary, failure to maintain adequate medical or financial records, improper billing practices, or billing Medicare patients at a higher fee scale that non-Medicare patients. abuse - answer✔✔A claim is submitted for a patient on Medicare with a higher fee than a patient on Insurance ABC. What is this considered by CMS? phys provider number - answer✔✔According to the Privacy Rule, what health information may not be de -identified? EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM fraud - answer✔✔making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program inadequate med recd - answer✔✔All the following are considered Fraud, EXCEPT: breach - answer✔✔A hospital records transporter is moving medical records from the hospital to an off -site building. During the transport, a chart falls from the box on to the street. It is discovered when the transporter arrives at the off -site building and the num ber of charts is not correct. What type of violation is this? breach - answer✔✔impermissible release or disclosure of information is discovered waiver of liability - answer✔✔What standard transactions is NOT included in EDI and adopted under HIPAA? 7 - answer✔✔The Federal False Claim Act allows for claims to be reviewed for a standard of how many years after an incident? anti kickback laws - answer✔✔A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medica re patient you send to them for radiology services. What does this offer violate? biz associate - answer✔✔A private practice hires a consultant to come in and audit some medical records. Under the Privacy Rule, what is this consultant considered? 60 - answ er✔✔Medicare overpayments should be returned within ___ days after the overpayment has been identified HHS - answer✔✔HIPAA mandated what entity to adopt national standards for electronic transactions and code sets? abuse - answer✔✔Entities that have been i dentified as having improper billing practices is defined by CMS as a violation of what standard? unique id - answer✔✔In addition to the standardization of the codes (ICD -10, CPT, HCPCS, and NDC) used to request payment for medical services, what must be u sed on all transactions for employers and providers? False Claims Act - answer✔✔A person that files a claim for a Medicare beneficiary knowing that the service is not correctly reported is in violation of what statute? SS Act - answer✔✔Medicare was passed into law under the title XVIII of what Act? fraud - answer✔✔While working in a large practice, Medicare overpayments are found in several patient accounts. The manager states that the practice will keep the money until Medicare asks for it back. What does this action constitute?
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