AAPC CPB - Chapter 1 Review | Questions and Correct Answers Latest Update 2024
What does the acronym PHI stand for?
- Patient Healthcare Information
- Patient History of Illness
- Protected Health Information
- Protected Healthcare Index - Answer - c. Protected Health Information
A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate?
- Stark Laws
- HIPAA
- Anti-Kickback law
- Qui Tam - Answer - c. Anti-Kickback law
Which of the following is NOT a component of the Preferred Provider Organizations (PPO) payer model?
- Offer a discounted fee schedule
- Operate within networks
- Require the enrollee to maintain a PCP
- Utilization of preferred providers - Answer - c. Require the enrollee to maintain a PCP
In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission?
- An office receives a court order. 1 / 2
- An office receives requests for medical records for a Medicare audit.
- An office receives a call from a patient's husband asking for information about his wife's recent office
- An office releases patient information to the Coroner's office upon the death of a patient. - Answer - c.
visit.
An office receives a call from a patient's husband asking for information about his wife's recent office visit.Which of the following is not a covered entity in the Privacy Rule?
- Commercial insurance company
- A healthcare consulting firm
- A Pediatric practice
- A billing service - Answer - b. A healthcare consulting firm
- Hospitals
What types of entities do conditions of participation (CoP) apply to for health plans?
II. Clinics III. Transplant centers IV. Psychiatric hospitals
- I, II, III
- I, III, IV
- II, III, IV
- I, II, III, IV - Answer - d. I, II, III, IV
When a practice sends an electronic claim to a commercial health plan for payment, what is this considered?
- A code set
- A transaction
- / 2