*NURSING > STUDY GUIDE > AAPC Official CPC Certification Study Guide Notes 2023-2024 (All)
AAPC Official CPC Certification Study Guide Notes 2023-2024
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"hold harmless clause" - ANS-* 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 benefi... ts, including: - ANS-* 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 - ANS-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 - ANSonly the minimum necessary protected health information should be shared to satisfy a particular purpose. A medically necessary service is the - ANS-least radical service/procedure that allows for effective treatment of the patients' complaint or condition CONTINUES.... [Show More]
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