Aapc stuvia - Study guides, Class notes & Summaries

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....

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...

AAPC CPB Practice Exam questions and answers

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-...

What elements must be in a medical record - ANSWER Patient ID, Assignment of Benefits, medical history, immunizations, physical exam, lab report, clinical impression, physician orders What is the minimum signature assignment of the author of entry in the medical record? - ANSWER First initial, Last Name and credentials Based on the JC accreditation guidelines for personal data, what 2 elements must be evident in the medical record? - ANSWER There must be a patient information sheet that co...

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...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - ANSWERSc. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - ANSWERSd. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO - ANSWERSb. Med...

You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - ANSWER Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders. As an auditor, who of the following would NOT be exp...