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CPC exam prep
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What part of Medicare covers prescription drug services
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Part D
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Terms in this set (172)
What part of Medicare covers prescription drug services
Part D
What is medical coding?
Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed?
when a service is not expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient?
$100 or 25% of cost
An entity that processes nonstandard health information they receive from another entity into a standard is considered what?
Clearinghouse
A covered entity does not include:
patients
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
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