CPC Final Exam ANSWERS.
Question 1
10 out of 10 points
What form is provided to a patient to indicate a service may not be covered by Medicare and the patient may
be responsible for the charges?
Selected d.
Answer: ABN
Correct d.
Answer: ABN
Response Rationale: An Advanced Beneficiary Notice (ABN) is used when a Medicare
Feedback: beneficiary requests or agrees to receive a procedure or service that Medicare may not cover. This
form notifies the patient of potential out of pocket costs for the patient.
• Question 2
10 out of 10 pointsWhich statement describes a medically necessary service?
Selected b.
Answer: Using the least radical service/procedure that allows for effective treatment of the patient’s
complaint or condition.
Correct b.
Answer: Using the least radical service/procedure that allows for effective treatment of the patient’s
complaint or condition.
Response Rationale: Medical necessity is using the least radical services/procedure that Feedback: allows for
effective treatment of the patient’s complaint or condition.
• Question 3
10 out of 10 pointsWhat document assists provider offices with the development of Compliance Manuals?
Selected a.
Answer: OIG Compliance Plan Guidance
Correct a.
Answer: OIG Compliance Plan Guidance
Response Rationale: The OIG has offered compliance program guidance to form the Feedback: basis of a
voluntary compliance program for physician offices. Although this was released in October 2000, it is still active
compliance guidance today.
• Question 4
10 out of 10 pointsUnder HIPAA, what would be a policy requirement for “minimum necessary”?
Selected a.
Answer: Only individuals whose job requires it may have access to protected health
information.
Correct a.
Answer: Only individuals whose job requires it may have access to protected health
information.
Response Rationale: It is the responsibility of a covered entity to develop and implement