Credentialing
What does caqh stand for?
Council for Affordable Quality Healthcare
HIPAA primarily protects what kind of information?
Protected health information (PHI)
How many new CPT codes were introduced in the 2026 code set?
288
F.R.I.E.N.D.S
Vartika
When can we start filling insurnace applications for new credentialing clients?
As soon as they have shared and completed %100 of thir CAQH or have completed CBS provided checklist and provided documents
Within what timeframe must patients be notified if their PHI has been compromised?
No later than 60 days after discovery of the breach
The purpose of the Current Procedural Terminology (CPT) code set is to:
Describe and communicate procedures and services performed by qualified health care professionals
Responsible, and fun-loving person with a good sense of humor. Sometimes worries about small things and get anxious quickly, loves spicy food. I believe in honesty, hard work.
Rajendra
Name a few exmaples of medical practices that require acreditations
Hospitals, Home Helath Agencies, Skilled Nursing Facilities, Hospice, etc.
Name one right that individuals have under the HIPAA Privacy Rule.
Right to access their health records; right to request corrections; right to obtain a copy of their PHI.
New CPT codes in 2026 were added for AI‑related services. Which of the following is NOT one of the example AI‑related services noted in the update?
A) AI‑assisted coronary plaque assessment
B) AI‑based perivascular fat risk assessment
C) AI‑assited robotic surgery
D) Algorithmic detection of cardiac dysfunction
C) AI‑assited robotic surgery
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Superman!
DEA license extensions are typically how many years? and why?
The 3-year registration cycle and strict renewal periods ensure that the DEA can:
- Keep provider records current
- Verify licensure and credentials
- Monitor prescribing patterns for compliance
Which HHS office is responsible for enforcing HIPAA Privacy and Security Rules?
Office for Civil Rights (OCR)
When reporting a preventive service that is covered with zero cost-sharing under the ACA, which modifier is typically added to the CPT code?
Modifier -33 indicates a service is preventive under ACA guidelines.
Introvert, love cars, carefree, Responsible.
Mridul
Whi HIPPA Rule does this Scenario violate:
A billing office employee is preparing an insurance claim appeal. To ensure approval, she sends the patient’s entire 75-page medical record to the insurance company, even though only the operative report and diagnosis were required for the appeal.
The HIPAA Minimum Necessary Rule
Explain how old habbits or monotonous actions while filling claims can lead to mistakes.
Well Discussed Team!
Radiant love and care, roll up sleeves attitude, adventurous.
Ginger