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AAPC CPB Final Questions and Correct Answers | Latest Update $13.49   Add to cart

Exam (elaborations)

AAPC CPB Final Questions and Correct Answers | Latest Update

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covered entity → ::- Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm → ::- Which of the following is not a covered entity in the Privacy Rule release reqt to ins co → ::- A request for med...

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  • September 24, 2024
  • 41
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AAPC CPB
  • AAPC CPB
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MASTER01
1 | P a g e | © copyright 2024/2025 | Grade A+




AAPC CPB Final Questions and
Correct Answers | Latest Update
covered entity


→ ::- Health plan, clearinghouses, and any entity transmitting health

information is considered by the Privacy Rule to be a:




healthcare consulting firm


→ ::- Which of the following is not a covered entity in the Privacy Rule




release reqt to ins co


→ ::- 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


→ ::- How many national priority purposes under the Privacy Rules for

disclosure of specific PHI without an individual's authorization or

permission?




no


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- A health plan sends a request for medical records 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


→ ::- 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


→ ::- Which of the following situations allows release of PHI without

authorization from the patient?




abuse


→ ::- Entities that have been identified as having improper billing

practices is defined by CMS as a violation of what standard?




abuse




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- misusing any information 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


→ ::- 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


→ ::- According to the Privacy Rule, what health information may not be

de-identified?




fraud


→ ::- making false statements or misrepresenting facts to obtain an

undeserved benefit or payment from a federal healthcare program




inadequate med recd


→ ::- All the following are considered Fraud, EXCEPT:




breach


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- 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 number of charts is not correct. What type

of violation is this?




breach


→ ::- impermissible release or disclosure of information is discovered




waiver of liability


→ ::- What standard transactions is NOT included in EDI and adopted

under HIPAA?




7


→ ::- The Federal False Claim Act allows for claims to be reviewed for a

standard of how many years after an incident?




anti kickback laws


→ ::- A new radiology company opens in town. The manager calls your

practice and offers to pay $20 for every Medicare patient you send to

them for radiology services. What does this offer violate?




Master01 | September, 2024/2025 | Latest update

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