Question 1
10 out of 10 points
What form is provided to a patient to indicate a service may not be covered by Medicare
and the patient may be responsible for the charges?
Selected
Answer:
d.
ABN
Correct
Answer:
...
Question 1
10 out of 10 points
What form is provided to a patient to indicate a service may not be covered by Medicare
and the patient may be responsible for the charges?
Selected
Answer:
d.
ABN
Correct
Answer:
d.
ABN
Response
Feedback:
Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare
beneficiary requests or agrees to receive a procedure or service that Medicare
may not cover. This form notifies the patient of potential out of pocket costs
for the patient.
Question 2
10 out of 10 points
Which statement describes a medically necessary service?
Selected
Answer:
b.
Using the least radical service/procedure that allows for effective treatment of
the patient’s complaint or condition.
Correct
Answer:
b.
Using the least radical service/procedure that allows for effective treatment of
the patient’s complaint or condition.
Response
Feedback:
Rationale: Medical necessity is using the least radical services/procedure that
allows for effective treatment of the patient’s complaint or condition.
Question 3
10 out of 10 points
What document assists provider offices with the development of Compliance Manuals?
Selected
Answer:
a.
OIG Compliance Plan Guidance
Correct
Answer:
a.
OIG Compliance Plan Guidance
Response
Feedback:
Rationale: The OIG has offered compliance program guidance to form the
basis of a voluntary compliance program for physician offices. Although this
was released in October 2000, it is still active compliance guidance today.
Question 4
10 out of 10 points
Under HIPAA, what would be a policy requirement for “minimum necessary”?
Selected
Answer:
a.
Only individuals whose job requires it may have access to protected health
information.
Correct
Answer:
a.
Only individuals whose job requires it may have access to protected health
information.
Response
Feedback:
Rationale: It is the responsibility of a covered entity to develop and implement
policies, best suited to its particular circumstances to meet HIPAA
requirements. As a policy requirement, only those individuals whose job
requires it may have access to protected health information.
Question 5
10 out of 10 points
According to the example LCD from Novitas Solutions, measurement of vitamin D levels is
indicated for patients with which condition?
Selected
Answer:
b.
fibromyalgi
a
Correct
Answer:
b.
fibromyalgi
a
Response
Feedback:
Rationale: According to the LCD, measurement of vitamin D levels is
indicated for patients with fibromyalgia.
Question 6
10 out of 10 points
Select the TRUE statement regarding ABNs.
Selected
Answer:
a.
ABNs may not be recognized by non-Medicare payers.
Correct
Answer:
a.
ABNs may not be recognized by non-Medicare payers.
Response
Feedback:
Rationale: ABNs may not be recognized by non-Medicare payers. Providers
should review their contracts to determine which payers will accept an ABN
for services not covered.
Question 7
10 out of 10 points
Who would NOT be considered a covered entity under HIPAA?
Selected
Answer:
d.
Patients
Correct
Answer:
d.
Patients
Response
Feedback:
Rationale: Covered entities in relation to HIPAA include Health Care Providers,
Health Plans, and Health Care Clearinghouses. The patient is not considered a
covered entity although it is the patient’s data that is protected.
Question 8
10 out of 10 points
When presenting a cost estimate on an ABN for a potentially noncovered service, the cost
estimate should be within what range of the actual cost?
Selected
Answer:
c.
$100 or 25 percent
Correct
Answer:
c.
$100 or 25 percent
Response
Feedback:
Rationale: CMS instructions stipulate, “Notifiers must make a good faith effort
to insert a reasonable estimate…the estimate should be within $100 or 25
percent of the actual costs, whichever is greater.”
Question 9
10 out of 10 points
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
[Show More]
.png)
