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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A person who has a privacy complaint can file it with the:
A)Food and Drug Administration (FDA).
B)Centers for Medicare and Medicaid Services (CMS).
C)DHHS Office for Civil Rights (OCR).
D)American Medical Association (AMA).
(Short Answer)
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What elements should be part of a contingency plan designed to protect data in the event of a disaster or emergency?
(Essay)
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HIPAA requires that diagnoses and services be reported in a standard, consistent manner; this is accomplished by using uniform:
A)claim forms.
B)code sets.
C)descriptors.
D)modifiers.
(Short Answer)
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Healthcare providers who achieve the standards of each HITECH stage by a designated date are eligible for:
A)free license renewals as long as they remain in practice.
B)Medicare incentive payments.
C)Medicaid incentive payments.
D)Medicare and Medicaid incentive payments.
(Short Answer)
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The HIPAA Unique Identifiers Rule requires that standard formats be used to identify:
A)healthcare providers.
B)health insurance plans.
C)employers that sponsor health insurance plans.
D)all of the above.
(Short Answer)
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Under HIPAA, any information related to patient identity, patient health status, the provision of care, or payment for services is considered __________ .
(Short Answer)
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The electronic transfer of information in a standardized format between trading partners is called __________ .
(Short Answer)
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Describe how protected health information (PHI) may be used by a coroner or medical examiner.
(Essay)
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Privacy Compliance Officers should focus their annual training efforts on areas targeted by the OIG for fraud and abuse investigation.
(True/False)
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The document used to authorize permission for the release of protected health information (PHI) is the:
A)designation for release of medical information form.
B)designation of beneficiary form.
C)acknowledgment of informed consent form.
D)assignment of benefits form.
(Short Answer)
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Describe the types of electronic transactions to which HIPAA rules apply.
(Essay)
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