Exam (elaborations)
CERTIFIED MEDICAL BILLING AND CODING SPECIALIST QUESTIONS WITH COMPLETE ANSWERS.
- Course
- Institution
CERTIFIED MEDICAL BILLING AND CODING SPECIALIST QUESTIONS WITH COMPLETE ANSWERS.
[Show more]
Content preview
CERTIFIED MEDICAL BILLING ANDCODING SPECIALIST QUESTIONS WITH
COMPLETE ANSWERS
What hhis hhthe hhThird-Party hhPayer? hh- hhAnswer hhA hhthird-party hhpayer hhis hha
hhhealth hhcare hhinsurance hhcompany hhthat hhreimburses hhservices hhprovided hhby
hhproviders hhand hhhealthcare hhorganizations.
What hhis hha hhprovider? hh- hhAnswer hhA hhprovider hhis hha hhlicensed hhprofessional
hhwho hhcan hhsubmit hhclaims hhto hha hhthird-party hhpayer. hhThis hhindividual hhcan hhbe
hha hhphysician, hhnurse hhpractitioner, hhphysical hhor hhoccupational hhtherapist, hhhospital
hhor hhany hhqualified hhprofessional hhwho hhis hhlicensed hhto hhprovide hhhealthcare
hhservices.
Storage hh- hhAnswer hhA hhbackup
Administrative hhUse hh- hhAnswer hhQuality hhimprovement
Clinical hhUse hh- hhAnswer hhInformation hhabout hha hhtype hhand hhquality hhof hhcare.
Transmission hh- hhAnswer hhPatient hheligibility
What hhis hhthe hhintent hhof hhthe hhOffice hhof hhthe hhInspector hhGeneral? hh- hhAnswer
hhIdentify hhand hheliminate hhfraud, hhabuse, hhand hhwaste.
How hhcan hha hhcompliance hhprogram hhhelp hhan hhorganization? hh- hhAnswer hhBy
hhproviding hhthe hhguidance hhand hhstructure hhneeded hhto hhmeet hhthe hhgoals hhof
hhcompliance.
What hhis hhthe hhpurpose hhof hhSelf-Disclosure hhProtocol? hh- hhAnswer hhSelf-disclosure
hhallows hhfor hha hhprovider hhor hhorganization hhto hhvoluntarily hhreport hhany hhevidence
hhof hhpotential hhfraud. hhThe hhvoluntary hhdisclosure hhallows hhthe hhprovider hhor
hhorganization hhto hhwork hhwith hhthe hhOIG hhto hhresolve hhthe hhissues hhand hhidentify
hhin hha hhfair hhmanner.
, The hhassignment hhof hhpasswords hhto hhauthorize hhusers hhto hhallow hhaccess hhto
hhmedical hhrecords hhis hha hhform hhof hhwhich hhof hhthe hhfollowing? hh- hhAnswer
hhSecurity
Informed hh- hhAnswer hhExample: hhA hhpatient hhagrees hhto hhhave hha hhlesion hhremoved
hhat hhthe hhtime hhof hhthe hhoffice hhvisit.
Implied hh- hhAnswer hhExample: hhA hhpatient hhvoluntarily hhundergoes hhan hhX-ray hhfor
hha hhsprained hhankle.
Written hh- hhAnswer hhExample: hhA hhpatient hhis hhplaced hhunder hhanesthesia hhfor hhhip
hhreplacement hhsurgery.
HIPAA hhguidelines hhinclude hhthat hhPHI hhcannot hhbe hhused hhor hhdisclosed hhwithout
hhpatient hhpermission. hhWhat hhare hhthe hhthree hhinstances hhwhen hhpatient
hhinformation hhcan hhbe hhdisclosed? hh- hhAnswer hhTreatment, hhpayment, hhhealthcare
hhoperations.
Which hhof hhthe hhfollowing hhtypes hhof hhmedical hhrecords hhhas hhexception hhstatus
hhprotection hhunder hhHIPAA? hh- hhAnswer hhPsychotherapy hhnote
Which hhof hhthe hhfollowing hhis hhthe hhmechanism hhused hhfor hhsecuring
hhdocumentation hhthat hhinvolves hhrecord hhretention hhmandated hhby hhfederal hhand/or
hhstate hhlaw? hh- hhAnswer hhStorage
What hhare hhthe hhdifferences hhbetween hhfraud hhand hhabuse? hh- hhAnswer hhFraud hhis
hhintentionally hhexpecting hha hhpayment hhon hha hhclaim hhwhen hhthe hhprovider hhis
hhaware hhof hhwrongdoing, hhbilling hhfor hhservices hhthat hhwere hhnot hhprovided.
Abuse hhis hhwhen hhthe hhprovider hhunknowingly hhor hhunintentionally hhmisrepresented
hhinformation hhon hha hhclaim hhfor hhreimbursement.
What hhis hhan hhefficient hhmechanism hhfor hhproofreading hhclaims? hh- hhAnswer hhClaims
hhscrubbing hhor hhedit hhchecks.
The hhFalse hhClaims hhAct hhaddresses hhwhich hhof hhthe hhfollowing hhtypes hhof
hhactivities? hh- hhAnswer hhFraudulent
HIPAA hh- hhAnswer hhGoverns hhand hhmandates hhregulations hhthat hhinclude hhprivacy.
Upcoding hh- hhAnswer hhPurposely hhmedical hhcoding hherrors.
Covered hhentities hh- hhAnswer hhTransmit hhhealth hhinformation hhin hhelectronic hhform.
What hhdoes hhthe hhterm hhadjudication hhmean hhin hhhealthcare? hh- hhAnswer hhThe hhact
hhof hhdetermining hhfinancial hhresponsibility hhof hhclaim hhcharges hhamong hhthe
hhstakeholders.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now