100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
CPB Test Prep Questions and Answers $13.49   Add to cart

Exam (elaborations)

CPB Test Prep Questions and Answers

 0 view  0 purchase
  • Course
  • CPB
  • Institution
  • CPB

CPB Test Prep Questions and Answers One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? a. Physicians that have been excluded can bill t...

[Show more]

Preview 4 out of 63  pages

  • October 30, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPB
  • CPB
avatar-seller
Emillect
©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




CPB Test Prep Questions and Answers


One of the most severe penalties that can be associated with violations of the Social Security Act is

exclusion from federal health care plans. Which of the following statements is true of excluded

individuals?




a. Physicians that have been excluded can bill the patient for services but cannot bill federal health plans.


b. Physicians that have been excluded can refer their patients to other facilities for treatment.


c. Physicians that have been excluded are prohibited from billing for any services to a federally

administered health plan.


d. Physicians that have been excluded are exempt from billing for services but are allowed to write

prescriptions and order tests. - ANSWER✔✔-C. Physicians that have been excluded are prohibited from

billing for any services to a federally administered health plan


Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of

the following is NOT


a. Payment and remittance advice


Page 1/63

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. Eligibility in a health plan


c. Coordination of Benefits


d.Physician unique identifier number - ANSWER✔✔-D. Physician unique identifier number


When a subpoena is received by the practice for medical records, in what circumstances may the records

be released according to the HIPAA Privacy Rule?


:a.


The subpoena allows for the release of the medical records.


b.


The subpoena is accompanied by a court order or the patient is notified and given a chance to object.


c.


The individual must sign an authorization for release of the information.


d.


Records cannot be released under any circumstance based on a subpoena. - ANSWER✔✔-B. The

subpoena is accompanied by a court order or the patient is notified and given a chance to object




Page 2/63

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




A physician billed claims to Medicare and Medicaid for procedures that were not performed on 800

patients resulting in loss of 2.6 million dollars. Is this fraud or abuse?


:a.


Fraud; subject to the Anti-kickback Statute


b.


Fraud; subject to the False Claims Act


c.


Abuse; subject only to education of the provider


d.


Abuse; subject to the Stark Law - ANSWER✔✔-B. Fraud; subject to the False Claims Act


HIPAA requires that privacy practice notices be provided in several circumstances. Which if the following

is NOT required?


a.


Must be available on any website the practice maintains


b.



Page 3/63

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Must be provided upon request


c.


Must be presented to all patients


d.


Must be placed into the patient's file - ANSWER✔✔-D. Must be placed into the patient's file


Federal healthcare plans include what payers?


a.


Blue Cross, Medicare, Humana


b.


Medicare, Medicaid, TRICARE


c.


Medicare, TRICARE, Blue Cross


d.


Humana, VA, TRICARE - ANSWER✔✔-B. Medicare, Medicaid, TRICARE




Page 4/63

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 Emillect. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84669 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
$13.49
  • (0)
  Add to cart