Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 1996
Exam 1: Introduction to Professional Billing and Coding Careers90 Questions
Exam 2: Understanding Managed Care: Insurance Plans92 Questions
Exam 3: Understanding Managed Care: Medical Contracts and Ethics91 Questions
Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 199691 Questions
Exam 5: ICD-9-CM Medical Coding91 Questions
Exam 6: ICD-10-CM Medical Coding91 Questions
Exam 7: Introduction to Cpt and Place of Service Coding91 Questions
Exam 8: Coding Procedures and Services91 Questions
Exam 9: Hcpcs and Coding Compliance91 Questions
Exam 10: Auditing91 Questions
Exam 11: Physician Medical Billing91 Questions
Exam 12: Hospital Medical Billing90 Questions
Exam 13: Medicare Medical Billing89 Questions
Exam 14: Medicaid Medical Billing91 Questions
Exam 15: Tricare Medical Billing90 Questions
Exam 16: Explanation of Benefits and Payment Adjudication88 Questions
Exam 17: Refunds and Appeals91 Questions
Exam 18: Workers Compensation90 Questions
Exam 19: Electronic Medical Claims Processing91 Questions
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The HITECH requirements for the implementation of standardized electronic health records and related technologies are known as:
A)standard code sets.
B)meaningful use.
C)certification.
D)computerized provider order entry.
(Short Answer)
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Providers who do NOT achieve the HITECH meaningful use standards by 2015 and in subsequent years will face penalties that consist of:
A)reductions in the rate of Medicare reimbursement.
B)reductions in the rate of Medicaid reimbursement.
C)annual fines until they are in compliance.
D)all of the above.
(Short Answer)
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Patients have the right to access and copy their medical records, but they cannot dispute anything in the record.
(True/False)
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A patient's electronic health record can contain information from multiple providers at multiple facilities such as physician offices, hospitals, imaging centers, and laboratories.
(True/False)
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Under HIPAA, health plans, providers, and clearinghouses are considered __________ .
(Short Answer)
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The HITECH Act expands the privacy provisions of HIPAA to include:
A)corporate owners of covered entities.
B)business associates of covered entities.
C)friends and family of providers.
D)friends and family of patients.
(Short Answer)
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Which stage of HITECH requirements focuses on the use of electronic health records in disease management, clinical decision support, and quality measurement?
A)Stage 1
B)Stage 2
C)Stage 3
D)Stage 4
(Short Answer)
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The advantage of using electronic data interchange standards (EDI) in the transmission of medical and claims data is:
A)improved data quality.
B)faster processing of transactions.
C)lower operating costs.
D)all of the above.
(Short Answer)
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Which type of safeguard involves the use of encryption when data is transmitted over open networks?
A)Administrative
B)Procedural
C)Physical
D)Technical
(Short Answer)
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Providers may be asked to provide protected health information (PHI) as part of FDA investigations related to product defects or recalls.
(True/False)
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HITECH Stage 1 requirements include the implementation of a computerized:
A)medical coding system.
B)medical practice management system.
C)provider order entry system.
D)accounting system.
(Short Answer)
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Administrative safeguards are policies and procedures that demonstrate how a covered entity will comply with HIPAA rules.
(True/False)
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The HIPAA Privacy rule forbids providers from ever disclosing protected health information (PHI) without the patient's permission, even in response to a court order.
(True/False)
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The unique identifier for insurance plans and third-party payers and administrators is the:
A)Federal Employer Identification Number (EIN).
B)Social Security number.
C)National Provider Identifier (NPI).
D)National Health Plan Identifier.
(Short Answer)
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HIPAA guidelines grant patients the right to access their own medical records and the right to:
A)at least 10 free copies.
B)request corrections of any inaccuracies in the records.
C)designate a specific person at an insurance company who may also have access.
D)file a complaint about how long it takes to get a claim paid.
(Short Answer)
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HIPAA guidelines apply to which of the following types of healthcare administrative transactions?
A)Health insurance claims
B)Claim status requests and reports
C)Eligibility requests and verifications
D)All of the above
(Short Answer)
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Which type of safeguard involves having procedures that clearly identify which employees have access to electronic protected health information (EPHI) and ongoing employee training on the proper methods for handling EPHI?
A)Administrative
B)Procedural
C)Physical
D)Technical
(Short Answer)
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The electronic record that includes documentation of patient care across multiple healthcare organizations that can be viewed by all providers who have a relationship with the patient is the electronic:
A)data interchange.
B)health record.
C)medical record.
D)patient database.
(Short Answer)
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The provision of HIPAA that applies to the use and disclosure of protected health information is the:
A)Administrative Rule.
B)Reimbursement Rule.
C)Privacy Rule.
D)Medical Records Rule.
(Short Answer)
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Data that has been scrambled and/or encoded to prevent it from being readable by unauthorized users is __________ .
(Short Answer)
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