Show:
Coding
Payers
Medical Necessity
Privacy / Compliance
100
EHR stands for: [A] Extended health record [B] Electronic health response [C] Electronic health record [D] Established health record
[C] Electronic health record
100
MAC stands for what? [A] Medicaid Alert Contractor [B] Medicare Administrative Contractor [C] Medicare Advisory Contractor [D] Medicaid Administrative Contractor
[B] Medicare Administrative Contractor
100
When presenting the cost estimate on an ABN, the cost estimate should be within what range of the actual cost? [A] $25 or 10% [B] $100 or 10% [C] $100 or 25% [D] An exact amount
[C] $100 or 25%
100
Who would not be considered a covered entity under HIPAA? [A] Doctors [B] HMO's [C] Clearinghouse [D] Patient
[D] Patient
200
What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? [A] Nurse Practitioner [B] Physician Assistant [C] Physical Therapist [D] Intern
[B] Physician Assistants
200
Medicare Part D is what type of insurance? [A] A Medicare Advantage program [B] Hospital coverage for Medicare Beneficiaries [C] Prescription drug coverage [D] Physician coverage
[C] Prescription drug coverage
200
LCD’s only have jurisdiction in their ____ area. [A] National [B] State [C] Regional [D] District
[C] Regional
200
What is PHI? [A] Physician-health care interchange [B] Protected health information [C] Private health insurance [D] Provider identified incident-to
[B] Protected health information
300
HIPAA was made into law in what year? [A] 1992 [B] 1995 [C] 1997 [D] 1996
[D] 1996
300
What type of health insurance provides coverage for low-income families? [A] Medicaid [B] Medicare [C] Commercial PPO [D] Commercial HMO
[A] Medicaid
300
Local Coverage Determinations are administered by ____? [A] Each regional MAC [B] NCD’s [C] LMRP’s [D] State Law
[A] Each regional MAC
300
HIPAA stands for: [A] Health Insurance Provider Assistance Action [B] Health Insurance Portability and Accountant Advice [C] Health Insurance Portability and Accountability Act [D] Health Information Public Access Act
[C] Health Insurance Portability and Accountability Act
400
HITECH provides a ____ day window which any violation not due to willful neglect may be corrected without penalty? [A] 40 [B] 30 [C] 45 [D] 60
[B] 30
400
What does CMS-HCC stand for? [A] County Mandated Services – Heightened Control Center [B] Country Mandated Services – Hospital Correct Coding Initiative [C] Centers for Medicare and Medicaid Services – Hierarchal Condition Category [D] Centers for Medicare and Medicaid Services – Hospital Correct Coding Initiative
[D] Centers for Medicare and Medicaid Services – Hierarchal Condition Category
400
National Coverage Determinations serve what purpose? [A] To notify beneficiaries of non covered services [B] To provide payment options to physicians [C] To spell out CMS policies on when Medicare will pay for items or services [D] To set standards for all payers on coverage items
[C] To spell out CMS policies on when Medicare will pay for items or services
400
Which of the following choices is NOT a benefit of an active compliance plan? [A] Faster, more accurate payment of claims [B] Eliminates risk of an audit [C] Fewer billing mistakes [D] Increased accuracy of physician documentation
[B] Eliminates risk of an audit
500
A medical record contains information on all but what areas? [A] Observations [B] Medical or surgical interventions [C] Treatment outcomes [D] Financial records
[D] Financial records
500
The Medicare program is made up of several parts. Which part is most significant to coders working in physician offices? [A] Part A [B] Part B [C] Part C [D] Part D
[B] Part B
500
ABN stands for: [A] Advance Beneficiary Notice [B] Admitting Beneficiary Notice [C] Advisory Beneficial Notice [D] Advanced Benefits Notification
[A] Advance Beneficiary Notice
500
Who is responsible for enforcing the HIPAA security rule? [A] OIG [B] HHS [C] OCR [D] CMS
[C] OCR - The Office for Civil Rights