Exam 1 Questions I got wrong

What is the value of a remittance advice?

It states what will be paid and why any changes to charges were made.

Who is responsible for enforcing the HIPAA security rule?

OCR: Office for Cicil Rights

EHR stands for:

Electronic Health Record

If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage?

Medicare Administrative Contractor (MAC)

HITECH provides a ______ day window during which any violation not due to willful neglect may be corrected without penalty.

30

What does CMS-HCC stand for?

Centers for Medicare & Medicaid Services – Hierarchal Condition Category

What will the scope of a compliance program depend on?

The size and resources of the provider’s practice.

Which coding manuals do outpatient coders focus on learning?

CPT®, HCPCS Level II and ICD-10-CM

Which statement is TRUE regarding the Merit-Based Incentive Program (MIPS)?

Providers are excluded from MIPS if they are enrolled in a Qualifying APM program.

In what year did HIPAA become law?

1996

What type of health insurance provides coverage for low-income families?

Medicare