Health Care > EXAM > AAPC CPC Chapter 1 | with 100% Correct Answers and rationale (All)

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AAPC CPC Chapter 1 | with 100% Correct Answers and rationale

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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 b ... e 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 (Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare beneficiary requests or agrees to receive a procedure or service that Medicare may not cover. This form notifies the patient of potential out of pocket costs for the patient.) - 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?: A) LCD B) CMS-1500 C) UB-04 D) ABN A (Rationale: It is the responsibility of a covered entity to develop and implement policies, best suited to its particular circumstances to meet HIPAA requirements. As a policy requirement, only those individuals whose job requires it may have access to protected health information.) - Under HIPAA, what would be a policy requirement for [Show More]

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