"hold harmless clause" Correct 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, inc
...
"hold harmless clause" Correct 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: Correct 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 Correct 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 Correct Answer: only the minimum necessary protected health information should be shared to satisfy a particular purpose.
A medically necessary service is the Correct 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? Correct Answer: Leg
APC Correct Answer: Ambulatory Payment Classification
ARRA Correct Answer: American Recovery and Reinvestment Act (of 2009)
ASC Correct Answer: Ambulatory Surgical Centers
Abuse consists of Correct 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 Correct 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.
An entity that processes nonstandard health information they receive from another entity into a standard format is considered what? Correct Answer: Clearinghouse
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