100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
AAPC Official CPC Certification Study Guide Notes Exam Questions and Certified Solutions Graded A+ CA$20.92   Add to cart
Quickly navigate to
Preview
  2.  
  3. AAPC CPC
  4.  
  5. AAPC CPC

Exam (elaborations)

AAPC Official CPC Certification Study Guide Notes Exam Questions and Certified Solutions Graded A+
 7 views  0 purchase
  • Course
  • AAPC CPC
  • Institution
  • AAPC CPC

AAPC Official CPC Certification Study Guide Notes Exam Questions and Certified Solutions Graded A+

Preview 3 out of 18  pages

Document information

  • August 27, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • aapc official cpc certification study guide notes

Written for

  • AAPC CPC
  • AAPC CPC

Seller

avatar-seller
YourExamplug

Reviews received

Content preview

AAPC Official CPC
Certification Study Guide
Notes Exam Questions
and Certified Solutions
Graded A+
Denning [Date] [Course title]

,"hold harmless clause" - Answer: * found in some non-Medicare health plan contracts

* prohibits billing to patient for anything beyond deductibles and co-pays.



A compliance plan may offer several benefits, including: - Answer: * more accurate payment of claims

* fewer billing mistakes

* improved documentation and more accurate coding

* less chance of violating self-referral and anti-kickback status



A healthcare clearing house is a - Answer: entity that processes nonstandard health information they
receive from another entity into a standard format



A key provision in HIPAA is the Minimum Necessary requirement. this means - Answer: only the
minimum necessary protected health information should be shared to satisfy a particular purpose.



A medically necessary service is the - Answer: least radical service/procedure that allows for effective
treatment of the patients' complaint or condition



A patient sustaining an injury to her great saphenous vein would have sustained injury to which of
anatomical site? - Answer: Leg



APC - Answer: Ambulatory Payment Classification



ARRA - Answer: American Recovery and Reinvestment Act (of 2009)



ASC - Answer: Ambulatory Surgical Centers



Abuse consists of - Answer: payment for items or services that are billed by providers in error that
should not be paid for by Medicare.

, An ABN protects the provider's financial interest by - Answer: creating a paper trail that CMS requires
before a provider can bill the patient for payment if Medicare denies coverage for the stated service or
procedure.



An entity that processes nonstandard health information they receive from another entity into a
standard format is considered what? - Answer: Clearinghouse



As a part of Health Care Reform, the Affordable Care Act of 2010 amended the definition of fraud to
remove the __________ requirement - Answer: intent



By statute, all work RVUs, must be examined no less often than - Answer: every 5 years



CF - Answer: Coversion Factor - fixed dollar amount used to translate the RVUs into fees



CMS - Answer: Centers for Medicare and Medicaid



CMS developed polices regarding medical necessity are based on regulations found in title XVIII,
$1862(a) of the - Answer: Social Security Act



CMS will accept the ____________ for either a "potentially non=covered" service or for a statutorily
excluded service - Answer: CMS-R-131



CMS-R-131 - Answer: ABN form



or



Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular service
or procedure.



CPT - Answer: Current Procedural Terminology

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 YourExamplug. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$20.92. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75323 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

300 NCLEX MEDICATIONS

CA$20.92
  • (0)
  Add to cart