AAPC - Chapter 1 Review Exam
What type of health insurance provides coverage for low-income families? - ✔✔Medicaid
Rationale: Medicaid is a health insurance assistance program for some low-income people
(especially ch
...
AAPC - Chapter 1 Review Exam
What type of health insurance provides coverage for low-income families? - ✔✔Medicaid
Rationale: Medicaid is a health insurance assistance program for some low-income people
(especially children and pregnant women) sponsored by federal and state governments.
The minimum necessary rule applies to - ✔✔Covered entities taking reasonable steps to limit use
or disclosure of PHI
Rationale: The Privacy Rule generally requires covered entities to take reasonable steps to limit
the use or disclosure of, and requests for, protected health information to the minimum necessary
to accomplish the intended purpose. The minimum necessary standard does not apply to the
following:
· Disclosures to or requests by a health care provider for treatment purposes.
· Disclosures to the individual who is the subject of the information.
· Uses or disclosures made pursuant to an individual's authorization.
· Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.
· Disclosures to the Department of Health & Human Services (HHS) when disclosure of
information is required under the Privacy Rule for enforcement purposes.
· Uses or disclosures that are required by other law.
Which type of information is NOT maintained in a medical record? - ✔✔Financial records
Rationale: Every time a patient receives health care, a record is maintained of the observations,
medical or surgical interventions and treatment outcomes. Administrative data, such as financial
records, should not be included in the medical record or provided in response to a subpoena or
request for health records.
Which of the following is a BENEFIT of electronic transactions? - ✔✔Timely submission of
claims
Rationale: Electronic claims benefit the provider office by allowing timely submissions to the
insurance carrier and proof of transmission of the claims.
AAPC credentialed coders have proven mastery of what information? - ✔✔All of the above
Rationale: AAPC credentialed coders have proven mastery of all code sets, evaluation and
management principles, and documentation guidelines.
What is the definition of medical coding? - ✔✔Translating documentation into
numerical/alphanumerical codes used to obtain reimbursement.
Rationale: Medical coding is the process of translating a healthcare provider's documentation of
a patient encounter into a series of numeric or alphanumeric codes.
In what year did HIPAA become law? - ✔✔1996
Rationale: HIPAA was adopted into law in 1996.
HIPAA stands for - ✔✔Health Insurance Portability and Accountability Act
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act? -
✔✔2009
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into
law on February 17, 2009, to promote the adoption and meaningful use of health information
technology.
Local Coverage Determinations are administered by whom? - ✔✔Each regional MAC
Rationale: Each Medicare Administrative Contractor (MAC) is responsible for interpreting
national policies into regional policies.
What is the value of a remittance advice? - ✔✔It states what will be paid and why any changes
to charges were made.
Rationale: The determination of the payer i
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