CBCS Exam Study Guide questions and answers 100% CORRECT

Document Content and Description Below

Medical Billing & Coding as a Career Correct Answer: *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing S ... pecialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? Correct Answer: Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr's, co-workers, the gov, and ins co's. What does acting within ethical behavior boundaries mean? Correct Answer: carrying out one's responsibilities w/ integrity, dignity, respect, honesty, competence, fairness, & trust. Legal Aspects of of Medical Billing & Coding: Correct Answer: ... Compliance regulations: Correct Answer: Most billing-related cases are based on HIPPA and False Claims Act Health Insurance Portability & Accountability Act (HIPPA) Correct Answer: Enacted in 1996, created by the Health Care Fraud & Abuse Control Program-enacted to check for fraud and abuse in the Medicare/Medicaid Programs and private payers What are the 2 provisions of HIPPA? Correct Answer: Title I: Insurance Reform Title II: Administrative Simplification What is Title I of HIPPA? Correct Answer: Insurance Reform-primary purpose is to provide continuous ins coverage for worker & their dependents when they change or lose jobs. Also *Limits the use of preexisting conditions exclusions *Prohibits discrimination from past or present poor health *Guarantees certain employees/indv the right to purchase new health ins coverage after losing job *Allows renewal of health ins cov regardless of an indv's health cond. that is covered under the particular policy. What is Title II of HIPPA? Correct Answer: Administrative Simplification-goal is to focus on the health care practice setting to reduce administrative cost & burdens. Has 2 parts- 1) development and implementation of standardized health-related financial & administrative activities electronically 2) Implementation of privacy & security procedures to prevent the misuse of health info by ensuring confidentiality What is the False Claims Act (FCA)? Correct Answer: Federal law that prohibits submitting a fraudulent claim or making a false statement or representation in connection w/ a claim. Also protects & rewards whistle-blowers. What is the National Correct Coding Initiative (NCCI)? Correct Answer: Developed by CMS to promote the national correct coding methodologies & to control improper coding that lead to inappropriate payment of Part B health ins claims. [Show More]

Last updated: 3 years ago

Preview 1 out of 32 pages

Buy Now

Instant download

We Accept:

Preview image of CBCS Exam Study Guide questions and answers 100% CORRECT document

Buy this document to get the full access instantly

Instant Download Access after purchase

Buy Now

Instant download

We Accept:

Report Copyright Violation

Also available in bundle (1)

Click Below to Access Bundle(s)

CBCS Exam Study Guide questions and answers 100% CORRECT|CBCS questions and answers all correct

When was the Health Information and Accountability Act (HIPAA) created? Correct Answer: 1996 What are Medical Ethics? Correct Answer: Standards of conduct based on moral principals. What are the two...

By ETSY 3 years ago

$14.5