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Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - d. Advance ...

A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent f...

What anatomical or compartment contains all the thoracic viscera except the lungs? - Mediastinum Who is responsible for enforcing the HIPAA security rule - Office of Civil Rights (OCR) ABN - Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by w...

When coding in operative report what action would NOT be recommended? - Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? - Medicare administrative contractor (MAC) M...

What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? - Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medicall...

What form is provided to a patient to indicate a service may not be covered by medicare and the patient may be responsible for the charges? - ABN Under HIPAA what would be a policy requirement for "minimum necessary"? - Only individuals whos job requires it may have access to protected health i...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. ...

The minimum necessary rule is based on sound current practice that protected health information should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean? a. Staff members are allowed to access any medical record without ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - covered entity Which of the following is not a covered entity in the Privacy Rule - healthcare consulting firm A request for medical records is received for a specific date of ...