Prepare to pass the CBCS with billing and coding practice for new professionals

A patient sends a written request to a physician practice for an electronic copy of their medical record, which the practice maintains electronically. Under the HIPAA Privacy Rule, what is the practice's primary obligation in responding?

Tap an answer to reveal the correct answer, rationale and source.

• A. Act within 60 days, with one 30-day extension available after written notice to the patient.
• B. Require the patient to sign a HIPAA authorization before releasing records to the patient.
• C. Act within 30 days, in the electronic format requested if readily producible, at a cost-based fee.
• D. Act within 30 days, charging the standard per-page copy rate listed on the practice fee schedule.

A provider documents a pressure ulcer of the sacral region, stage 3. Using ICD-10-CM, which code reflects the site and stage?

Tap an answer to reveal the correct answer, rationale and source.

• A. L89.152, pressure ulcer of sacral region, stage 2.
• B. L89.153, pressure ulcer of sacral region, stage 3.
• C. L89.159, pressure ulcer of sacral region, unspecified stage.
• D. L97.909, non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity.

Under Medicare fee-for-service rules, what is the general deadline for submitting a claim after the date of service, and what happens if it is missed?

Tap an answer to reveal the correct answer, rationale and source.

• A. Within 180 days of service; claims filed after that date are paid at a reduced rate.
• B. Within 90 days of service; claims filed later are routed automatically to appeal.
• C. Claims must be filed within one calendar year of the date of service.
• D. No fixed limit applies, as long as the record documents medical necessity for the service.