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UHC ETHICS AND COMPLIANCE EXAM KEY CONCEPTS | 2024/2025 EXAM GUIDE CA$12.32   Add to cart

Exam (elaborations)

UHC ETHICS AND COMPLIANCE EXAM KEY CONCEPTS | 2024/2025 EXAM GUIDE

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UHC ETHICS AND COMPLIANCE EXAM KEY CONCEPTS | 2024/2025 EXAM GUIDE UHC ETHICS AND COMPLIANCE EXAM KEY CONCEPTS | 2024/2025 EXAM GUIDE UHC ETHICS AND COMPLIANCE EXAM KEY CONCEPTS | 2024/2025 EXAM GUIDE

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  • October 1, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • UHC ethics and compliance
  • UHC ethics and compliance
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UHC ETHICS AND COMPLIANCE
EXAM KEY CONCEPTS | 2024/2025
EXAM GUIDE

Medicare Integrity Program (MIP) - Correct Answer - Authorizes
CMS to contract entities for cost report auditing, medical review,
anti-fraud activities, and the Medicare Secondary Payer program.


Medicare Shared Savings Program - Correct Answer - Mandated
by PPACA to improve care quality for Medicare fee-for-service
beneficiaries through Accountable Care Organizations (ACOs).


Message Digest - Correct Answer - Text representation as a string
of digits created using a formula, encrypted and attached to an
electronic document for electronic signatures.


Minimum Necessary Standard - Correct Answer - HIPAA Privacy
Rule principle that protected health information should only be
used when necessary for a specific purpose.

, National Plan and Provider Enumeration System (NPPES) -
Correct Answer - CMS system assigning unique identifiers (NPI)
to healthcare providers.


National Provider Identifier (NPI) - Correct Answer - Unique 10-
digit numeric identifier for healthcare providers, including a check
digit in the last position.


National Standard Employer Identification Number (EIN) - Correct
Answer - Unique 9-digit identifier for employers sponsoring health
insurance, assigned by the IRS since January 1998.


National Standard Format (NSF) - Correct Answer - Flat-file
format for billing provider and noninstitutional services like those
on a CMS-1500 claim.


Notice of Privacy Practices (NPP) - Correct Answer - Document
outlining individual health privacy rights regarding protected
health information.


Precedent - Correct Answer - Legally binding court decision
following stare decisis, requiring applying precedent law to similar
cases.

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