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QuestionAnswer
What is medical coding? Translating medical documentation into codes
Which one is NOT a covered entity of HIPAA? A.Medicare B.Workers’ compensation C.Dentists D.Pharmacies Workers' Comensation
4.Which one falls under a commercial payer? A.Medicare (Government) B.Medicaid (Government) C.Blue Cross Blue Shield (Commercial) D.All the above are commercial payers Blue Cross Blue Shied
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 processes nonstandard health information they receive from another entity into a standard format is considered what? Clearinghouse
.What is PHI? Protected Health Information
Intentional billing of services 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
Created by: KESLOVE
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