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

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