Simplification Study guides, Class notes & Summaries

AABB correct answer: American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse correct answer: Improperly, and often unknowingly, violating regulations ALJ hearing correct answer: The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks correct answer: AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association correct answer: AOA; one of si...

NHA NEW CBCS PRACTICE TESTS- study Questions and Answers (2024 / 2025) (Verified Answers) Medical Ethics Standards of conduct based on moral principles. Generally accepted as a guide for behavior towards patients, physicians, co-workers, the government, and insurance compaines. Compliance Regulations billing-related cases are based on HIPAA and False Claims Act. Health Insurance Portability and Accountability Act of 1996 (HIPPA) Created the Health Care Frad and Abuse Control Prpgra...

HCCA-CHPC STUDY GUIDE 2024/300+ QUESTIONS AND CORRECT DETAILED ANSWERS/A+ GRADE What is the purpose of HIPAA? - CORRECT ANSWER - • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform HIPAA resides in which CFR section? - CORRECT ANSWER - 45 CFR sections 164.102 through 164.534 Wha...

CPB Chapter 8Facility charges are reported on which claim form? A. UB-05 claim form B. CMS-1500 claim form C. UB-04 claim form D. Either CMS-1500 or UB-04 claim form - correct answer C. UB-04 claim form Response Feedback: The UB-04 claim form is used to report facility charges to the payer for reimbursement. Which transaction is NOT specified in the 5010 transaction standards? A. Claims B. Eligibility C. Acknowledgement for Healthcare Insurance D. Acknowledgeme...

HIPAA Test Review Questions and Answers Latest Update Graded A+ What does HIPAA stand for? Health Insurance Portability & Accountability Act What is HIPAA? Federal privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. When did HIPAA take effect? Took effect on April 14, 2003. What does HIPAA's standards provide patients with? Access to their medical records and more contro...

Medical Billing & Coding as a Career - *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr's, co-workers, the gov, an...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

NHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERSNHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERSNHA (NEW) 2023 CBCS PRACTICE TESTS- STUDY QUESTIONS WITH 100% CORRECT ANSWERS Medical Ethics - ANSWER-Standards of conduct based on moral principles. Generally accepted as a guide for behavior towards patients, physicians, co-workers, the government, and insurance compaines. Compliance Regulations - ANSWER-billing-related cases are based ...

Health Insurance Portability and Accountability Act of 1996 - ANSWER (HIPAA) August 21, 1996 - ANSWER HIPAA was enacted on _________. Kennedy-Kassebaum - ANSWER HIPAA aka as ______ bill, was originally enacted to provide rights and protections for participants and beneficiaries of group health plans. Under this law, exclusions for preexisting conditions were limited, and discrimination against employees and dependents based on their health status were prohibited. Fraud, Abuse - ANSWER H...

Medical Billing & Coding as a Career - correct answer *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - correct answer Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr...