CPC Certification Study Guide| 208 QUESTIONS| WITH COMPLETE SOLUTIONS

Document Content and Description Below

When should an ABN be signed? Correct Answer: When a service is not expected to be covered by Medicare. What are NCD's interpreted at the MAC level considered? Correct Answer: LCD What is medi... cal billing? Correct Answer: Translating medical documentation into codes. What part of Medicare should be billed for the pain medication by the pharmacy? Correct Answer: Part D The amount on an ABN should be within how much of the cost to the patient? Correct Answer: $100 or 25% of cost. An entity that processes nonstandard health information they receive from another entity into a standard is considered what? Correct Answer: Clearinghouse. What is PHI? Correct Answer: Personal Health Information. Intentional billing of services not provided is considered? Correct Answer: Fraud. What OIG document should a provider reveiw for potential problem areas that will receive special scrutiny in the upcoming year? Correct Answer: OIG Work Plan. Each year in October. What is ABN? Correct Answer: Advance Beneficiary Notification [Show More]

Last updated: 1 year ago

Preview 1 out of 14 pages