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C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas with claims submissions are listed and will be targeted with special scrutiny.) What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan D (...

What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare National Coverage Determinations LCD's only have jurisdiction in their ____ area. Regional ABN stands for Advance Beneficiary Notice HIPPA was made into law in what year? ...

"hold harmless clause" * 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: * 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 entity that processes nonstandard health information they receive from anothe...

What document assists provider offices with the development of Compliance Manuals? OIG Compliance Program Guidance What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services? OIG Work Plan Why do you give ABN form To warn Medicare may not cover Why was hitech enacted. To promote use of health info tech What is mips Merit based Incentive Payment System ties physicians Medicare payments to their individual group subm...

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO b. Medicaid Which type of information is NOT maintained...

What anatomical or compartment contains all the thoracic viscera except the lungs? Mediastinum Who is responsible for enforcing the HIPAA security rule Office of Civil Rights (OCR) ABN Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? Periodic audits What does the abbreviation MAC stand for? Medicare Administrative Contractor How many lobes make up the RIGHT lung? the right has 3 lobes the left has 2 lobes Condition in whic...

Many coding professionals go on to find work as: Consultant A medical record contains information on all but what areas? Financial records Technicians who specialize in coding are called: Coding specialists EHR stands for: Electronic health record What type of provider goes through approximately 26.5 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The Medicare program is made up of several parts. Which part is most signifi...

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 C. 11626, 12044-51 A 30-year-old female...

A voltmeter is used to measure the value of a circuit's ____. Electromotive force A closed circuit is indicated by an ohmmeter reading of ______. Zero A meter that operates by sensing the strength of the electromagnetic field around the wire is a(n) ______. Clamp-on ammeter Current measurement in milliamps are typically read using a(n) _____. VOM An expected resistance of 1,000,000 ohms would be measured using a ______. Megohmmeter Which category rating covers installation that present t...

Under strict safety guidelines, which of the following should be used to discharge capacitors before working on de-energized circuits. safety shorting probe For safety, assume that any facility constructed before 1980 has? asbestos With of the following is the threshold at which a power source is considered high voltage in the context of safety? over 600V- 600Volts Insulated gloves must be inspected by the user? always and field checked The normal beating of a heart can be upset by an electr...