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AAPC CPB Final Questions and Correct Answers | Latest Update $13.49   Add to cart

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AAPC CPB Final Questions and Correct Answers | Latest Update

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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 s...

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  • September 24, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AAPC CPB
  • AAPC CPB
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1 | P a g e | © copyright 2024/2025 | Grade A+




AAPC CPB Final Questions and
Correct Answers | Latest Update
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 service from

patient's insurance company with regards to a submitted claim. No

authorization for release of information is provided. What action should be

taken?


→ ::- release reqt to ins co




How many national priority purposes under the Privacy Rules for disclosure of

specific PHI without an individual's authorization or permission?


→ ::- 12




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


A health plan sends a request for medical records in order to adjudicate a

claim. Does the office have to notify the patient or have them sign a release

to send the information?


→ ::- no




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?


→ ::- Truth in Lending Act




Which of the following situations allows release of PHI without authorization

from the patient?


→ ::- workers comp




misusing any information on the claim, charging excessively for services or

supplies, billing for services not medically necessary, failure to maintain

adequate medical or financial records, improper billing practices, or billing

Medicare patients at a higher fee scale that non-Medicare patients.


→ ::- abuse




A claim is submitted for a patient on Medicare with a higher fee than a

patient on Insurance ABC. What is this considered by CMS?


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- abuse




According to the Privacy Rule, what health information may not be de-

identified?


→ ::- phys provider number




making false statements or misrepresenting facts to obtain an undeserved

benefit or payment from a federal healthcare program


→ ::- fraud




All the following are considered Fraud, EXCEPT:


→ ::- inadequate med recd




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?


→ ::- breach




impermissible release or disclosure of information is discovered




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- breach




What standard transactions is NOT included in EDI and adopted under

HIPAA?


→ ::- waiver of liability




The Federal False Claim Act allows for claims to be reviewed for a standard of

how many years after an incident?


→ ::- 7




A new radiology company opens in town. The manager calls your practice

and offers to pay $20 for every Medicare patient you send to them for

radiology services. What does this offer violate?


→ ::- anti kickback laws




A private practice hires a consultant to come in and audit some medical

records. Under the Privacy Rule, what is this consultant considered?


→ ::- biz associate




Medicare overpayments should be returned within ___ days after the

overpayment has been identified




Master01 | September, 2024/2025 | Latest update

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