100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
AAPC CPB - Chapter 1 Review Updated 2024/2025 Actual Questions and answers with complete solutions $7.99   Add to cart

Exam (elaborations)

AAPC CPB - Chapter 1 Review Updated 2024/2025 Actual Questions and answers with complete solutions

 12 views  0 purchase
  • Course
  • AAPC CPB
  • Institution
  • AAPC CPB

CMS defines ___________ as billing for a lower level of care than is supported in documentation, making false statements to obtain undeserved benefits or payment from a federal healthcare program, or billing for services that were not performed. a. Fraud b. Abuse c. a Stark violation d. an An...

[Show more]

Preview 2 out of 8  pages

  • August 2, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AAPC CPB
  • AAPC CPB
avatar-seller
ACADEMICMATERIALS
AAPC CPB - Chapter 1 Review CMS defines ___________ as billing for a lower level of care than is supported in documentation, making false statements to obtain undeserved benefits or payment from a federal healthcare program, or billing for services that were not performed. a. Fraud b. Abuse c. a Stark violation d. an Anti -kickback - Answer -a. Fraud A patient is seen in your clinic. Her husband calls later in the day to ask for information about the visit. The practice pulls the patient's privacy authorization to see if they can speak to the husband. What act does this action fall under? a. HIPAA b. Social Security Act c. ADA d. Health Information Act - Answer -a. HIPAA A practice agrees to pay $250,000 to settle a lawsuit alleging that the practice used X -rays of one patient to justify services on multiple other patients' claims. The manager of the office brought the civil suit. What type of case is this? a. Qui Tam b. Stark case c. Anti -Kickback d. HIPAA - Answer -a. Qui Tam 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? a. Truth in Lending Act b. False Claims Act c. HIPAA d. Social Security Act - Answer -a. Truth in Lending Act A private practice hires a consultant to come in and audit some medical records. Under the Privacy Rule, what is this consultant considered? a. An employee b. A business associate c. A covered entity d. A clearinghouse - Answer -b. A business associate 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? a. A breach b. A minimum necessary violation c. A disclosure violation d. Fraud - Answer -a. A breach A records request is received from a health plan for three dates of service in a chart months apart. What should the biller do? a. Copy the entire chart and send it to make sure that the health plan has everything they need and will not request more records.

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 ACADEMICMATERIALS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

60281 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
$7.99
  • (0)
  Add to cart