AAPC CPC Study Guide Chapter 1 Business of Med Already Passed

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AAPC CPC Study Guide Chapter 1 Business of Med Already Passed ABN ✔✔Advanced Beneficiary Notification AMA ✔✔American Medical Association APC ✔✔Ambulatory Payment Classification ARRA �... ��✔American Recovery and Reinvestment Act of 2009 ASC ✔✔Ambulatory Surgical Center CF ✔✔Conversion Factor CMS ✔✔Centers for Medicare and Medicaid Services CPC ✔✔Certified Professional Coder CPT ✔✔Current Procedural Terminology DRG ✔✔Diagnostic Related Group EHR ✔✔Electronic Health Record E/M or E&M ✔✔Evaluation and Management GPCI ✔✔Geographic Practice Cost Index HCPCS ✔✔Healthcare Common Procedure Coding System HHS ✔✔Department of Health and Human Services HIPAA ✔✔Health Insurance Portability and Accountability Act of 1996 HITECH ✔✔Health Information Technology for Economic and Clinical Health Act HMO ✔✔Health Maintence Organization ICD-9-CM ✔✔International Classification of Disease, 9th Clinical Modification LCD ✔✔Local Coverage Determinations MAC ✔✔Medicare Administrative Contractor MP ✔✔Malpractice NCD ✔✔National Coverage Determination OCR ✔✔Office of Civil Rights OIG ✔✔Office of Inspector General PE ✔✔Physician Expense PFS ✔✔Physician Fee Schedule PLI ✔✔Professional Liability Insurance RUC ✔✔Relative Value Update Committee RVU ✔✔Relative Value Unit RBRVS ✔✔Resource Based Relative Value System Medicare Part D ✔✔What part of Medicare should be billed for the pain medication? Translating medical documentation into codes ✔✔What is medical coding? What are NCD's interpreted at the MAC level considered? ✔✔LCD When should an ABN be signed? ✔✔When a service is not expected to be covered by Medicare The amount on an ABN should be within how much of the cost to the patient? ✔✔$100 OR 25% of cost An entity that process nonstandard health information that they receive from another entity into a standardis considered what? ✔✔Clearinghouse What is PHI ✔✔Personal health information Intentional billing of service not provided is considered ___________. ✔✔Fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? ✔✔OIG Work Plan [Show More]

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