Aapc cpc stuvia - Study guides, Class notes & Summaries

What anatomical or compartment contains all the thoracic viscera except the lungs? - ANSWERSMediastinum Who is responsible for enforcing the HIPAA security rule - ANSWERSOffice of Civil Rights (OCR) ABN - ANSWERSAdvance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - ANSWERSPeriodic audits What does the abbreviation MAC stand for? - ANSWERSMedicare Administrative Contractor How many lobes make up the RIGHT lung? - ANSW...

What anatomical or compartment contains all the thoracic viscera except the lungs? - ANSWERSMediastinum Who is responsible for enforcing the HIPAA security rule - ANSWERSOffice of Civil Rights (OCR) ABN - ANSWERSAdvance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? - ANSWERSPeriodic audits What does the abbreviation MAC stand for? - ANSWERSMedicare Administrative Contractor How many lobes make up the RIGHT lung? - ANSW...

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 restriction b. Providers should develop safeguards to prevent unauthorized access to protected health information. c. Practices should only provide minimum necessary information to patients. d. All...

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 for permanent histopathologic examination. What are the CPT® code(s) for this procedure? A. 11626 B. 11626, 12004-51 C. 11626, 12044-51 D. 11626, 13132-51, 13133 - ANSWERSC. 11626, 12044-51 A 30-...

A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses - ANSWERSc. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Alert Contractor - ANSWERSa. Medicare Administrative Contractor When are providers responsible for obtaining an ABN for a service NOT considered medically necessary? a. After providing a service or item to...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - ANSWER * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANSWER * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a -...

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 restriction b. Providers should develop safeguards to prevent unauthorized access to protected health information. c. Practices should only provide minimum necessary information to patients. d. All...

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...

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...

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...