ch 1 Flashcards
In what year was the AAPC founded?
1988
What type of health insurance provides coverage for low-income families?
medicaid
Which of the following choices is NOT a benefit of an active compliance plan?
Eliminates risk of an audit.
What will the scope of a compliance program depend on?
The size and resources of the provider’s practice
What is the value of a remittance advice?
It states what will be paid and why any changes to charges were made
What does the abbreviation MAC stand for?
Medicare Administrative Contractor
According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of professional conduct?
Efficiency
If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage?
Medicare Administrative Contractor (MAC)
What is the purpose of National Coverage Determinations?
To explain CMS policies on when Medicare will pay for items or services.
Healthcare providers are responsible for developing ____ ____ and policies and procedures regarding privacy in their practices.
Notices of Privacy Practices
Which coding manuals do outpatient coders focus on learning?
CPT®, HCPCS Level II and ICD-10-CM
Who is responsible for enforcing the HIPAA security rule?
The Office for Civil Rights (OCR)
The Medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer?
part b
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
2009
The OIG releases a ____ outlining its priorities for the fiscal year ahead and beyond.
work plan
