*NURSING > QUESTIONS & ANSWERS > CRC Exam Chapter 1 Exam Questions and answers, rated A+ (All)
CRC Exam Chapter 1 Exam Questions and answers, rated A+ Who are covered entities according to HIPAA? - ✔✔-Health Care Providers Health Plans Health Care Clearinghouses Risk Adjustment Coders... should have knowledge in? - ✔✔-The use of medications, treatments of the patient, and diagnostic testing. What document assists provider offices with the development of Compliance Manuals? - ✔✔-OIG Compliance Plan Guidance Under HIPAA, what would be a policy requirement for "Minimum Necessary"? - ✔✔-Only individuals whose job requires it may have access to protected health information. What is medical necessity? - ✔✔-using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. Which code set does risk adjustment coding focus on? - ✔✔-ICD-10-CM What document is referred to when looking for potential problem areas identified by the government indicating scrutiny of the services? - ✔✔-OIG Work Plan What act was enacted as part of the American Recovery and Reinvestment Act of 2009 (AARA) and affected privacy and security? - ✔✔-HITECH (Health Information Technology for Economic and Clinical Health Act) Which insurance is the primary government payer in the United States? - ✔✔-Medicar [Show More]
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