Aapc stuvia - Study guides, Class notes & Summaries

When coding in operative report what action would NOT be recommended? - ANSWERSCoding 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? - ANSWERSMedicare administrative contractor (MAC) MAC stands for what!? - ANSWERSMedicare administrative contractor What is the definition of coding? - ANSWERSTranslating documentation into numerical/alphabetical codes used to obtai...

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? - ANSWERSABN Under HIPAA what would be a policy requirement for "minimum necessary"? - ANSWERSOnly individuals whos job requires it may have access to protected health information What document is referenced to when looking for potential problem areas indentified by the government indicating scrutiny of the service? - ANSWERSOIG work plan Select t...

Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code - ANSWER D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct ans...

AAPC CPB - Chapter 14 ReviewAAPC CPB - Chapter 14 Review__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER-d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff III . housekeeping IV. food service staff V. administrative staff a. I only b. I and V c. I, III, and V d. I-V - ANSWER-d. I-V Which entity governs workers' compensa...

AAPC CPB - Chapter 2 Quiz Questions and AnswersAAPC CPB - Chapter 2 Quiz Questions and Answers A patient presents to be seen in the office. He does not pay at the time the services are rendered as the provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members under this plan as is paid on a monthly basis with a set amount that is based on the number of members covered and their ages. What type of plan is this? a. PPO b. Capitation c. Fee-for-serv...

When coding in operative report what action would NOT be recommended? - ANSWER 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? - ANSWER Medicare administrative contractor (MAC) MAC stands for what!? - ANSWER Medicare administrative contractor What is the definition of coding? - ANSWER Translating documentation into numerical/alphabetical codes used to obtai...