AAPC Official CPC Certification Study Guide Notes 2023|2024

AAPC Official CPC Certification Study Guide Notes 2023|2024 "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 - Answer entity that processes nonstandard health information they receive from another entity into a standard format A key provision in HIPAA is the Minimum Necessary requirement. this means - Answer only the minimum necessary protected health information should be shared to satisfy a particular purpose. A medically necessary service is the - Answer least radical service/procedure that allows for effective treatment of the patients' complaint or condition A patient sustaining an injury to her great saphenous vein would have sustained injury to which of anatomical site? - Answer Leg APC - Answer Ambulatory Payment Classification ARRA - Answer American Recovery and Reinvestment Act (of 2009) ASC - Answer Ambulatory Surgical Centers Abuse consists of - Answer payment for items or services that are billed by providers in error that should not be paid for by Medicare. An ABN protects the provider's financial interest by - Answer creating a paper trail that CMS requires before a provider can bill the patient for payment if Medicare denies coverage for the stated service or procedure